Insufficient Nursing Staff on Weekend Shifts
Penalty
Summary
The facility failed to provide sufficient direct care nursing staff to meet the needs of all residents for 24 hours a day during the weekend. Review of the facility's census and direct care service hours per patient day (DHPPD) forms showed that on two consecutive weekend days, the actual CNA DHPPD was below the required 2.4, and the total DHPPD (including CNAs and licensed nurses) was below the required 3.5. The Director of Staff Development confirmed that staffing levels did not meet the facility's own policy requirements on both days. Interviews with staff and review of facility policy further confirmed that the minimum staffing standards were not met, potentially affecting the care, health, and well-being of all 55 residents in the facility. No specific residents or their medical conditions were mentioned in relation to the deficiency, but the findings were based on record review and staff interviews confirming the shortfall in required staffing levels.