F0865

F

Failure to Maintain Required Nurse Aide Staffing Ratios

Saxonburg, Pennsylvania Survey Completed on 02-19-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide the required number of Nurse Aides (NAs) per resident per shift as required by state regulations. Surveyors determined that, for the period from 1/25/26 through 2/13/26, the facility did not meet required NA staffing ratios for 40 of 63 shifts. A review of the facility’s staffing worksheet showed that the facility was using an outdated staffing hours calculator that did not reflect current NA ratio regulations, and the Nursing Home Administrator (NHA) confirmed that the incorrect calculator was being used. The documentation provided by the facility also lacked the assignment grids that were supposed to designate required NA ratios and be reviewed during labor meetings.

Based on review of documents and staff interviews, surveyors concluded that the facility failed to make a good faith effort to correct and sustain improvement for a previously cited deficiency related to NA staffing ratios (Citation P5520). Despite prior education provided to the NHA and Director of Nursing (DON) on the required state Certified Nurse Aide ratios, the facility’s practices did not result in compliance with current staffing requirements. The failure to maintain required NA staffing levels and to use accurate tools to calculate staffing was cited under 28 Pa. Code: 201.14(a) Responsibility of licensee, 28 Pa. Code: 201.18(b)(1) Management, and 28 Pa. Code: 211.12(d)(1)(2)(3)(4)(f.1)(i)(2) Nursing services.