(1) Effective July 1, 2023, 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 2.87 hours of direct resident care for each resident.
|
Observations:
Based on review of the facility's documentation provided for their plan of correction for complaint survey of January 2, 2024, it was determined that the facility failed to meet the required 2.87 PPD (Per Patient Day) for five days in a twelve day period,
Findings include:
A review of the facility's staffing from February 21, 2024, until March 3, 2024, revealed that the following days had a PPD below 2.87.
February 28, 2024 - 2.80
February 29, 2024 - 2.50
March 1, 2024 - 2.556
March 2, 2024 - 2.43
March 3, 2024 - 2.01
Interview via telephone with the Nursing Home Administrator conducted on March 5, 2024, at 9:30 a.m., in response to the dates of noncompliance, confirmed that the facility did not meet the required minimum PPD for the days mentioned above.
| | Plan of Correction - To be completed: 04/18/2024
1. No residents were adversely impacted due to the HPPD
2. Administrator or designee will re-educate DON, scheduler, nursing supervisors, and any members of nursing administration to ensure hppd is above 2.87.
3. DON or designee will conduct daily audits to ensure hppd is at 2.87 or above for 8 weeks.
4. DON or designee will review audit findings at QAPI X 2 months to ensure appropriate staffing.
5. Facility utilizes supplemental staff through "CareerStaff Unlimited" agency to assist in achieving appropriate staffing ratios to ensure safety and quality care.
|
|
