Based on a review of nursing time schedules and staff interview, it was determined that the facility failed to provide the minimum number of general nursing care hours to each resident in a 24 -hour period on one of 21 days reviewed.
The findings include:
A review of nursing time schedules revealed that the facility failed to provide 2.7 hours of general nursing care to each resident in a 24-hour period on the following dates:
March 10, 2019 - 2.68 hours provided
During interview on March 20, 2019, at approximately 11:50 a.m., the director of nursing confirmed the facility failed to provide minimum nursing hours on the aforementioned day.
| ||Plan of Correction - To be completed: 04/16/2019|
Preparation and Submission of this plan of correction is required by State and Federal law. This plan of correction does not constitute an admission for purposes of general liability, professional malpractice, or any Administrative or other court proceedings.
Ridgeview will provide a minimum of 2.7 hours of direct resident care to each resident in a 24-hour period.
The RNs will be educated on the importance of maintaining acceptable minimum staffing levels as well as how to calculate the daily Nursing PPD.
The DON/ADON/Nursing Scheduler will monitor the daily Nursing PPD to ensure the Facility maintains required staffing levels and will make adjustments as necessary.
Audits of the daily Nursing PPD will be conducted by the DON/Designee for compliance 5x/week x 2 weeks, 3x/week x 2 weeks, weekly x 2 months. Results of the audits will be reported at the Facility's monthly QA meeting.