Insufficient CNA Staffing Resulting in Delayed Resident Care
Penalty
Summary
The facility failed to provide a sufficient number of Certified Nursing Assistants (CNAs) to meet the needs of all residents, as evidenced by multiple observations, interviews, and record reviews. On several occasions, there were fewer CNAs working than scheduled, resulting in delayed responses to call lights and unmet resident care needs. For example, one resident reported having their call light on for nearly two hours without assistance, expressing frustration over not receiving help to get up or take a shower. Another resident's family member observed that their loved one remained in bed, incontinent and undressed, due to a lack of available aides. Staff and family interviews consistently indicated concerns about inadequate staffing and the impact on resident care, with reports of overworked CNAs and high staff turnover. Review of staffing schedules and timecards revealed discrepancies between the number of CNAs scheduled and those actually present, with shifts often operating below the facility's stated requirements. Resident council meeting minutes and additional family interviews further documented ongoing concerns about insufficient CNA staffing and its effect on care continuity. The facility's own assessment and staffing policy emphasized the need for adequate staff to ensure resident safety and well-being, yet the documented staffing levels and observed care delays demonstrated a failure to meet these standards for the facility's 33 residents.