Failure to Meet Minimum Weekend Nursing Staffing Requirements
Penalty
Summary
The facility failed to ensure sufficient nursing staff on all days to meet residents’ needs and to provide at least the minimum required staffing hours on certain weekends. Review of the facility’s PBJ Staffing Data Report for Fiscal Year Quarter 4 2025 (July 1 to September 30) showed that excessively low weekend staffing was triggered. Further review of the Staffing Pattern Forms for weekends in that quarter revealed that on 07/06/2025 the facility provided 255.70 nursing hours when 260.85 hours were required, and on 08/24/2025 the facility provided 271.20 nursing hours when 282 hours were required. In an interview on 01/12/2026 at 3:45 p.m., the administrator confirmed the facility did not provide the minimum required staffing hours on those two dates. No specific resident medical histories or conditions were described in the report, and the deficiency was based on documented staffing hours and administrative confirmation of failure to meet minimum staffing requirements on the identified weekends.
