A Health Information and Quality Authority report on a private nursing home in Co Monaghan has identified staffing supervision and staffing levels, or skill mix, did not adequately meet the needs of residents.
The report on Mullinahinch House private nursing home in Monaghan was published following an unannounced inspection by HIQA last December - the fifth the health watchdog has carried out at the home.
It said there was evidence of major negative outcomes for residents especially at night.
A high-dependency room was not adequately staffed to meet the needs of residents requiring 24-hour high-support nursing care.
Inspectors also found failings in relation to standards for the prevention and control of healthcare associated infections.
Responding, Mullinahinch House said it would review staffing levels and skill mix, and that its high-dependency unit had been recategorised to a four-bed unit.
It said all fire safety training was now up to date.
The nursing home said a new policy would be developed in relation to procedures for the prevention of the spread of healthcare associated infections, and appropriate training would be provided to all staff.
