Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per 24-hour period. A review of nursing schedules over a 21-day period revealed that on three specific days, the total nursing care hours fell below the mandated minimum. Specifically, on November 30, 2025, only 3.11 care hours per resident were provided; on December 6, 2025, 3.12 care hours per resident were provided; and on December 13, 2025, 3.09 care hours per resident were provided. This deficiency was identified through a review of the facility's nursing time schedules and affected the overall care provided to residents during those days.
Plan Of Correction
1,2) HPPD will be reviewed for the last 7 days to evaluate if the state minimum PPD of 3.2 is met. 3) Nursing admin and scheduler will be re-educated on new July 1 nurse staffing and PPD requirements. 4) Weekly audit of HPPD will be conducted for 60 days by NHA/designee to ensure minimal HPPD is met. Tracking and trends to be submitted to the QAPI committee.