Lack of Staff and Resident Involvement in Facility Assessment
Penalty
Summary
The facility failed to demonstrate active involvement of staff and residents in determining staffing needs during its facility-wide assessment. The assessment identified insufficiencies in staffing, training, services, and personnel. Interviews revealed that CNAs and Resident Care Managers were not asked to provide input regarding staffing needs based on resident acuity, and there was no formal process for staff to give feedback to management about staffing. Members of the Resident Council reported that concerns about staffing had been discussed in meetings without resolution, and noted that agency staff required additional training. Documentation was not available to show how staffing hours or feedback from residents and staff were incorporated into the facility assessment.