Failure to Meet Minimum Nurse Aide Staffing Ratio on Night Shift
Penalty
Summary
A review of nursing time schedules for a 21-day period revealed that the facility did not meet the required minimum nurse aide (NA) to resident ratio on one occasion. Specifically, on the night shift from 11:00 p.m. to 7:00 a.m. on December 9, 2025, the facility failed to provide at least one NA for every 15 residents, as mandated by regulation. This deficiency was identified through direct examination of staffing records for the specified period. No additional details regarding the residents' medical history or condition at the time of the deficiency were provided in the report.
Plan Of Correction
1, 2) Nurse aide staffing ratios will be reviewed for the last 7 days to evaluate if nurse aide ratios are met. 3) Nursing admin and scheduler will be re-educated on new July 1 nurse staffing and PPD requirements. 4) Weekly audit of nurse aide ratios will be conducted for 60 days by NHA/designee to ensure nurse aide ratios are met. Tracking and trends to be submitted to the QAPI committee.