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F0725
F

Insufficient Staffing Resulted in Unmet Resident Care Needs

Palmyra, Pennsylvania Survey Completed on 06-06-2025

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 provide sufficient nursing staff to meet the needs of every resident, as evidenced by clinical record review, resident interview, and facility documentation. One resident, who was alert, oriented, and required staff assistance for transfers due to difficulty walking and weakness, reported being unable to get out of bed on a Sunday because there was not enough staff available. Review of the resident's clinical record confirmed there was no documentation of a transfer out of bed on that day. Additionally, staffing records for the same day showed the facility did not meet required nurse aide, LPN, RN ratios, or minimum direct care hours per resident.

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