F0725

D

Failure to Meet 3.5 DHPPD Minimum Staffing Requirement

Ojai, California Survey Completed on 03-27-2026

Penalty

No penalty information released

Summary

The facility failed to meet the required 3.5 direct care hours per patient day (DHPPD) staffing minimum on 2 of 28 days reviewed in February 2026, resulting in a deficiency related to insufficient nursing staff. Review of the facility’s DHPPD staffing logs for 2/1/26–2/28/26 showed that on 2/2/26 the facility provided 3.40 direct care hours and on 2/8/26 it provided 3.46 direct care hours, both below the mandated 3.5 DHPPD. During an interview on 4/2/26 at 11:40 a.m., the DON stated they were aware of the 3.5 DHPPD staffing requirement but were not aware that the facility had failed to meet this minimum for the month of February 2026. A review of the facility’s workforce shortage staffing waiver, dated June 2, 2025, showed that the waiver applied only to the 2.4 CNA staffing standard and explicitly required the facility to continue to provide no less than 3.5 direct care service hours per patient day, confirming that the 3.5 DHPPD requirement remained in effect.

This failure had the potential to result in unmet care needs, inadequate supervision, delayed response to changes in condition, and avoidable adverse outcomes for residents.