Failure to Maintain Sufficient Nursing Staff on Multiple Dates
Penalty
Summary
The facility failed to provide sufficient nursing staff with the appropriate competencies and skill sets to meet the needs of all residents. Payroll-Based Journal (PB&J) Staffing Reports and personnel staffing patterns revealed that the facility had excessively low weekend staffing during the second quarter of Fiscal Year 2025, specifically from January through March. Additionally, there were multiple specific dates in January, February, March, and June 2025 where staffing was found to be insufficient. This deficiency was confirmed during an interview with the Director of Nursing, who acknowledged that the facility did not meet the required staffing hours on the identified dates. No information about specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.