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P5530

LPN Staffing Deficiency on Day Shift

Philadelphia, Pennsylvania Survey Completed on 12-17-2024

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to meet the Pennsylvania state regulation requiring a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift. On December 9, 2024, the facility's staffing data showed that the actual LPN staffing ratio was 91.12, falling short of the minimum required ratio of 92.80. This deficiency was identified during a review of the facility's 'nursing staff ratio' for the weeks of November 24, 2024, through December 14, 2024. The findings were discussed with the facility's Administrator on December 16, 2024.

Plan Of Correction

Facility will ensure that we will abide by the DOH guidelines for LPN staffing ratios. Staffing directors will be educated to ensure that we are abiding by DOH guidelines for LPN staffing ratios. NHA/designee will audit 3X weekly X4 weeks and then monthly X2 months to ensure that facility is abiding with DOH LPN staffing ratios. Results will be reviewed during the facilities monthly QAPI Meeting X3 months to determine the need for further review.

See complete original report
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