Failure to Maintain Sufficient Nursing Staff Levels
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of residents, as evidenced by both resident interviews and review of staffing documentation. During a group interview, all seven residents reported that staff response to call bells was significantly delayed due to low staffing levels. Facility records from June 11, 2025, through July 1, 2025, showed that the minimum nurse aide to resident ratios were not met on 17 out of 21 days, the minimum licensed practical nurse ratios were not met on 18 out of 21 days, and the minimum registered nurse ratio was not met on nine out of 21 days. Additionally, the minimum direct care hours per resident were not met on three out of 21 days. These findings indicate a consistent pattern of insufficient staffing during the reviewed period.