(2) Effective July 1, 2023, a minimum of 1 nurse aide per 12 residents during the day, 1 nurse aide per 12 residents during the evening, and 1 nurse aide per 20 residents overnight.
|
Observations:
Based on a review of nursing schedules, staffing information provided by the facility, and staff interviews, it was determined that the facility failed to ensure a minimum of one nurse aide per 12 residents on the evening shift for one of 18 days reviewed.
Findings Include:
Review of facility census data indicated that on May 5, 2024, the facility census was 67, which required 5.58 (67 residents divided by 12) nurse aides during the day shift. Review of the nursing time schedules revealed 5.28 nurse aides provided care on the evening shift on May 5, 2024. No additional excess higher-level staff were available to compensate this deficiency.
Interview with the Nursing Home Administrator on May 16, 2024, at 4:23 p.m. confirmed that the facility did not meet the required nurse aide-to-resident staffing ratios for the evening shift on May 5, 2024.
| | Plan of Correction - To be completed: 05/21/2024
Preparation and submission of this POC is required by state and federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice or any other court proceeding.
1.Facility unable to correct the staffing hours for the cited day of 5/5/24. No significant outcomes noted.
2. To help prevent reoccurrence, the Director of Nursing or Designee will in-service the scheduling staff on the importance of staffing the facility according to the regulation and policy.
3.The Administrator or designee will audit the direct care staffing five times per week to ensure regulatory compliance. Agency personnel are utilized as necessary to assist in staffing regulatory compliance. When staffing is critical management staff will consider delaying, limiting new admissions, or placing admissions on hold. Nursing staff including licensed nurses and nursing management will be asked to fill openings as needed.
4. The audit outcomes will be presented to the Quality Assurance Committee for review and recommendations
|
|
