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F0838
C

Facility Assessment Lacked Specific Staffing Needs by Unit and Shift

Hempstead, New York Survey Completed on 08-05-2025

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 ensure that its Facility Assessment included specific staffing needs for each resident unit and each shift, as required. During the recertification survey, it was found that the Facility Assessment, last reviewed in June 2025, did not indicate the required number of Certified Nursing Aides for each unit and each shift (7:00 AM-3:00 PM, 3:00 PM-11:00 PM, and 11:00 PM-7:00 AM) on weekdays. Additionally, the assessment did not specify the staffing needs for Licensed Practical Nurses for each unit for the 3:00 PM-11:00 PM and 11:00 PM-7:00 AM shifts during the weekdays. Interviews with the Administrator revealed that both the Administrator and the Director of Nursing Services (DON) were involved in developing and reviewing the Facility Assessment, with the DON responsible for the nursing staffing portion. The Administrator acknowledged that the Facility Assessment should have clearly indicated specific nursing staffing needs by resident units for each shift and stated that the omission was an oversight. The DON responsible for this section was no longer employed at the facility at the time of the survey.

See complete original report
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