Failure to Ensure 24/7 Presence of CPR Certified Staff
Penalty
Summary
The facility failed to ensure that a staff member certified in Cardiopulmonary Resuscitation (CPR) was present in the facility at all times, as required by facility policy and necessary for the care of residents. Review of employee timesheets over multiple date ranges revealed that for 16 out of 40 days reviewed, there was not a CPR certified staff member working in the facility for the full 24-hour period. The facility census was 35 at the time of survey entrance, and a review of the Resident Status List showed that 30 out of 52 residents were listed as Full Code, indicating they would require CPR in the event of cardiac or respiratory arrest. During an interview, the Director of Nursing (DON) confirmed that a CPR certified staff member should be present at all times.