(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 staffing hours and staff interviews, it was determined that the facility failed to ensure a minimum of one nurse aide per 12 residents during the day and evening shifts for four of the 21 days reviewed and one nurse aide per 20 residents during the night shifts for 12 of the 21 days reviewed.
Findings include:
A review of nursing care hours provided by the facility dated from November 25, 2023, through December 15, 2023, revealed the following on the day shift:
December 9, 2023, census of 80 with four nurse aides, required seven nurse aides
A review of nursing care hours provided by the facility dated from November 25, 2023, through December 15, 2023, revealed the following on the evening shift:
December 2, 2023, census of 82 with six nurse aides, required seven nurse aides December 3, 2023, census of 81 with six nurse aides, required seven nurse aides December 12, 2023, census of 80 with six nurse aides, required seven nurse aides
A review of nursing care hours provided by the facility dated from November 25, 2023, through December 15, 2023, revealed the following on the night shift:
November 26, 2023, census of 80 with three nurse aides, required four nurse aides November 27, 2023, census of 80 with three nurse aides, required four nurse aides November 28, 2023, census of 81 with three nurse aides, required five nurse aides November 29, 2023, census of 82 with two nurse aides, required five nurse aides November 30, 2023, census of 82 with four nurse aides, required five nurse aides December 1, 2023, census of 82 with four nurse aides, required five nurse aides December 2, 2023, census of 82 with four nurse aides, required five nurse aides December 3, 2023, census of 81 with four nurse aides, required five nurse aides December 7, 2023, census of 78 with three nurse aides, required four nurse aides December 13, 2023, census of 82 with four nurse aides, required five nurse aides December 14, 2023, census of 84 with four nurse aides, required five nurse aides December 15, 2023, census of 86 with three nurse aides, required four nurse aides
Confirmed the above findings with the Administrator on December 18, 2023, at 9:25 AM.
| | Plan of Correction - To be completed: 01/31/2024
There were no immediate adverse affects
A review of the staffing schedules for will be conducted to ensure compliance with the ratio of 1 nurse aide per 12 residents on 1st shift, 1 nurse aide per 12 residents on 2nd shift and 1 nurse aide per 20 residents on night shift
An inservice will be conducted with the Scheduler to ensure compliance with the ratio of 1 nurse aide per 12 residents on first shift, 1 nurse aide per 12 residents on 2nd shift and 1 nurse aide per 20 residents on night shift
An audit will be conducted weekly of the next 4 weeks of nursing schedules to ensure compliance with the ratio of 1 nurse aide per 12 residents on first shift, 1 nurse aide per 12 residents on 2nd shift and 1 nurse aide per 20 residents on night shift. Facility will be in compliance with Department's revised guidance for staffing ratios that will allow use of mathematical calculations when implemented.
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