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P5520

Failure to Meet Minimum Nurse Aide Staffing Ratios

Punxsutawney, Pennsylvania Survey Completed on 09-25-2025

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 meet the required minimum nurse aide-to-resident staffing ratios as mandated by regulation effective July 1, 2024. Specifically, the facility did not provide at least one nurse aide per 10 residents during the day shift, one nurse aide per 11 residents during the evening shift, and one nurse aide per 15 residents during the overnight shift for the majority of days reviewed. This deficiency was identified through a review of nursing schedules, staffing information, and facility census data for multiple weeks in June, July, and September 2025. On numerous occasions, the number of nurse aides scheduled and providing care was below the required minimum based on the facility's census. For example, on several days when the census required between 4.5 and 5.3 nurse aides during the day shift, the actual number of nurse aides present ranged from as low as 3.03 to 5.1. Similar shortfalls were observed during the evening and night shifts, with the number of nurse aides often falling below the calculated requirement for the given census. There were no additional higher-level staff available to compensate for these staffing deficiencies. The deficiency was confirmed through interviews with facility staff, including the Nursing Home Administrator, who acknowledged that the required nurse aide-to-resident ratios were not met on the days in question. The report does not mention any specific residents affected or detail any medical histories or conditions related to the deficiency. The findings are based solely on staffing records, census data, and staff interviews.

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