(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.
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Observations: Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for 16 of 21 days reviewed.
Findings include:
Review of nursing schedules for February 7 through 27, 2024, revealed the following:
The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on day (7:00 a.m. to 3:00 p.m.) shift on February 8, 9, 13, 14, 22, 24, and 25, 2024.
The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on evening (3:00 p.m. to 11:00 p.m.) shift on February 11, 22, and 26, 2024.
The facility failed to meet the minimum NA to resident ratio of one NA for 20 residents on night (11:00 p.m. to 7:00 a.m.) shift on February 8, 9, 11, 12, 13, 14, 16, 17, 18, 19, 20, 22, 23, 24, and 25, 2024.
| | Plan of Correction - To be completed: 04/16/2024
1,2. Nurse aide staffing ratios will be reviewed for the last 7 days to evaluate if the state minimum CNA ratio is met.
3. Nursing Administration and scheduler will be reeducated on the CNA staffing ratios requirements.
4. Weekly audit of CNA staffing ratios will be conducted for 60 days by NHA/designee to ensure minimal CNA ratios are met. Tracking and trends to be submitted to the QAA Committe and issues to be addressed if/when needed.
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