(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.
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Observations: Based on a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 3.2 hours of direct care for each resident for three of six days reviewed.
Findings include:
Review of nursing schedules for six days from July 30, 2026, through August 4, 2026, revealed the following total nursing care hours below minimum requirements:
July 31, 2026: 3.10 care hours per resident August 1, 2026: 3.10 care hours per resident August 2, 2026: 3.00 care hours per resident
| | Plan of Correction - To be completed: 09/07/2026
1) Past findings cannot be corrected. 2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident. 3) Schedular and HR to be re-educated on the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident. 4) NHA/HR will audit staffing daily x 7 days then weekly for 4 weeks. Trends to be tracked and reported to QAPI committee.
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