Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
Facility administrative staff failed to provide the minimum required 3.2 hours of direct general nursing care per resident per day on 16 out of 21 days, as evidenced by a review of nursing time schedules and census data. On multiple dates, the provided nursing care per patient day (PPD) fell below the regulatory minimum, with values ranging from 2.77 to 3.18 hours for census counts between 153 and 165 residents. This deficiency was confirmed by the Nursing Home Administrator during an interview, acknowledging that the facility did not meet the mandated nursing care hours on the specified days. No specific information about individual residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
NHA will educate DON/Scheduler on minimum staffing hours/regulations on new staffing guidelines effective July 1, 2024. Facility has advertised for open nursing care positions. Interviews will be conducted as applicants apply. Open interviews have been scheduled for every Thursday in January 2026, 10 am to 2 pm. Scheduler will meet daily with NHA/DON/Designee to review staffing schedule for a period of 2 weeks to ensure the facility is providing the minimum general nursing hours to each resident. Scheduler will calculate HPPD throughout the day to ensure the facility has sufficient staff. Results of these audits will be reviewed in the Quality Improvement Committee for recommendations as needed.