Failure to Maintain Minimum CNA Staffing Levels
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of every resident, as required by their own Facility Assessment and state regulations. On multiple occasions, the number of Certified Nurse Aides (CNAs) scheduled for the day shift fell below the minimum required, with documented shortfalls on specific dates. Staff interviews confirmed that these shortages led to rushed and stressful care, with CNAs frequently being asked to work overtime or cover additional units due to callouts. The Staffing Coordinator and Director of Nursing acknowledged that minimum staffing requirements were not met on certain days, primarily due to staff callouts and restrictions on overstaffing to cover absences. Residents reported negative impacts from the staffing shortages, including delays in assistance with toileting and oxygen needs, and feelings of degradation when left to use adult briefs due to lack of timely help. Staff also reported that the reduced number of CNAs resulted in frequent complaints from residents and family members about long wait times and delays in care. The facility's staffing levels were adjusted based on census, but the minimum required numbers were not consistently maintained, contributing to the deficiencies observed during the survey.