Failure to Maintain Adequate Weekend Nursing Staff
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide sufficient nursing staff on weekends during the first quarter reviewed, as evidenced by the Center for Medicare & Medicaid Services Payroll Based Journal (PPJ) Report. The report showed that the facility triggered for low weekend staffing for the period from 10/1/24 through 12/31/24. During an interview and review of staffing records with the Administrator and Scheduler, it was confirmed that the facility was not adequately staffed for 32 out of 39 weekend days reviewed. This deficiency was identified through record review, interviews, and analysis of the PPJ report, with the Administrator acknowledging the staffing shortfall during the specified period.