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F0725
F

Failure to Maintain Adequate Weekend Nursing Staff Levels

Chestertown, Maryland Survey Completed on 08-13-2025

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

Facility staff failed to ensure sufficient weekend nursing staff coverage, as evidenced by a review of the Payroll-Based Journal (PBJ) report and facility assessment. The PBJ report for the second quarter of 2025 flagged the facility for excessively low weekend staffing levels. The facility's own staffing goal was set at 3.15 Hours Per Patient per Day (HPPD), but data from March, April, and May 2025 showed that this standard was not met on multiple weekends. Specifically, the HPPD fell below the facility's goal on 4 out of 5 weekends in March, all weekends in April, and 2 out of 5 weekends in May. During an interview, the Staffing Coordinator acknowledged the low weekend staffing and confirmed that the facility had not used agency staff since April 2024. The deficiency was further substantiated by the facility assessment, which was updated in 2025 and outlined the need for adequate staffing to provide continuity of care. The Administrator and Director of Nursing were made aware of the PBJ report findings during the survey entrance conference.

See complete original report
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