(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 10 of 21 days reviewed.
Findings include:
Review of nursing schedules for 21 days from January 24, 2024, through February 13, 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 January 28, 2024, and February 6, 7, 9, 12, and 13, 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 3, 4, 7, 10, 11, 12, and 13, 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 13, 2024.
| | Plan of Correction - To be completed: 03/12/2024
The statements made on this plan of correction are not admission to, and do not constitute an agreement with the alleged deficiencies herein. To remain in compliance with all federal and state regulations the center has taken or will take actions set forth in the following plan of corrections. The following plan of corrections constitutes the center's allegation of compliance. 1. Identified practice is unable to be retroactively corrected.
2. NA to resident ratio of one NA to twelve residents will be scheduled for day and evening shifts and one NA to twenty residents for night shift.
3. Nursing Scheduler will receive re-education on the NA to resident ratio.
4. NHA/designee will conduct random audits of five shifts per week for four weeks. Results of audits will be presented to the QAPI Committee for review and recommendations as needed.
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