Failure to Provide Sufficient Nursing Staff and Services
Penalty
Summary
The facility failed to provide sufficient nursing staff and related services to meet the needs of residents, as evidenced by multiple complaints and observations documented in resident council meeting minutes, confidential resident interviews, and staff interviews. Residents reported that call lights were frequently turned off by CNAs without their needs being met, and that response times to call lights were lengthy, sometimes taking up to an hour. Several residents stated they missed scheduled showers due to staffing shortages, with some relying on family members for personal care. One resident described waiting approximately 40 minutes for assistance and experiencing incontinence as a result, while another reported lying on the floor for about 20 minutes after a fall before help arrived. Staff interviews corroborated these concerns, indicating that bath aides were often reassigned to other duties, resulting in residents not receiving scheduled baths. The activity department and dining services were also reported to be understaffed, leading to delays and cold food being served. These findings affected at least seven residents who required staff assistance, and the issues persisted over several months, as reflected in repeated complaints during resident council meetings.