Failure to Address Unit and Shift-Specific Staffing and Contracted Services in Facility Assessment
Penalty
Summary
The facility failed to ensure its facility-wide assessment and staffing plan addressed the specific staffing needs for each unit and shift, including nights and weekends, as required. The staffing plan only listed the desired number of full-time equivalent nurses and CNAs, without specifying shift or unit-based requirements or considering changes in the resident population. Additionally, the facility assessment did not document whether contracts or agreements were in place for essential services such as goods provision, facility management, emergency services, transportation, and dialysis. During an interview, the Administrator acknowledged a lack of awareness regarding the need to detail nurse staffing by shift and unit, as well as the requirement to list and review all contract services used by the facility.