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F0727
F

Failure to Provide Required RN Coverage

Holyoke, Massachusetts Survey Completed on 08-27-2025

Penalty

No penalty information released
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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 the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, as required. Record review showed that on one day, an RN was only present for three hours, rather than the required eight consecutive hours within a 24-hour period. The nursing schedule indicated a gap in RN coverage, with no RN scheduled between 3:00 P.M. on one day and 9:00 P.M. the next day. During interviews, the Scheduler stated she was unaware of the RN coverage requirement, and the Director of Nursing confirmed the shortfall in RN coverage after reviewing the schedule. All residents were placed at risk for not having their clinical needs met either directly by the RN or indirectly by the LPN or Certified Nurse's Aides (CNA) that the RN was responsible for overseeing with provision of resident care.

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