(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 15 days reviewed.
Findings include:
Review of nursing schedules for 15 days from July 1, 2024, to July 15, 2024, revealed the following total nursing care hours below minimum requirements:
Monday, July 1, 2024: 3.19 care hours per resident.
Thursday, July 4, 2024: 3.12 care hours per resident.
Sunday, July 7, 2024: 3.12 care hours per resident.
During an interview on July 16, 2024, at 2:30 p.m., the Nursing Home Administrator confirmed that the facility did not meet the minimum required nursing care hours.
| | Plan of Correction - To be completed: 08/13/2024
1,2) HPPD will be reviewed for the last 2 days to evaluate if the state minimum PPD of 3.2 is met.
3) Nursing admin and scheduler will be re-educated on new July 1 nurse staffing and PPD requirements.
4) Weekly audit of HPPD will be conducted for 60 days by NHA/designee to ensure minimal HPPD is met. Tracking and trends to be submitted to the QAPI committee.
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