Failure to Administer Facility Resources and Maintain Adequate Dietary Staffing
Penalty
Summary
The facility failed to administer its operations in a manner that enabled effective and efficient use of resources, impacting all 35 residents. Multiple invoices and shut-off notices from utility companies and the Fire Marshal's office were overdue, with some accounts at risk of service interruption. The Business Office Manager consistently forwarded these notices to corporate accounts payable, but payments were often delayed or only partially made. Staff interviews revealed concerns about delayed supplies, financial instability, and lack of responsiveness from administration and corporate leadership. The Medical Director also experienced delayed payments, and the Fire Marshal's office confirmed outstanding bills dating back to the previous year. Administrative staff, including the Administrator, were frequently absent or inaccessible, with several staff members reporting that the Administrator was rarely present and did not engage with staff or residents. Concerns raised by staff were often ignored, and there was a general perception that administration and corporate did not prioritize the needs of the residents or the facility. The Administrator's job description outlined responsibilities for budgeting, financial oversight, and ensuring quality care, but these duties were not fulfilled as evidenced by the ongoing financial issues and lack of timely bill payments. Additionally, the facility failed to employ sufficient dietary staff as outlined in its facility assessment. The dietary department was consistently understaffed, with the Dietary Director and other staff members required to cover multiple roles and avoid overtime, leading to incomplete kitchen tasks and delays in meal and snack preparation. The facility assessment called for more dietary staff than were actually employed, and the short staffing resulted in CNAs having to leave resident care duties to retrieve snacks. Training for dietary staff was also inadequate, with planned training sessions not occurring and the Dietary Director lacking sufficient support. These deficiencies were confirmed by staff interviews and review of staffing schedules.