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P5530

LPN Staffing Deficiency

White Marsh, Pennsylvania Survey Completed on 12-05-2024

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 required staffing levels for Licensed Practical Nurses (LPNs) across all shifts over a three-week period from November 10, 2024, to November 30, 2024. Specifically, the facility did not provide the minimum of 1 LPN per 25 residents during the day shift on November 12, 13, and 16, 2024. Additionally, the evening shift was understaffed with less than 1 LPN per 30 residents on November 11, 26, and 30, 2024. The night shift also fell short of the required 1 LPN per 40 residents on November 15 and 19, 2024. These deficiencies were confirmed through a review of the facility's census data, nursing schedules, and staff punch reports, as well as an interview with the Nursing Home Administrator and Staffing Coordinator on December 5, 2024.

Plan Of Correction

The Provider submits the following plan of correction in good faith and to comply with federal regulations. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1. The facility cannot go back retroactively to correct this issue. 2. The NHA, DON, and staffing coordinator were educated by the regional nurse on the LPN staffing ratios for dayshift, evening shift, and nightshift. 3. The NHA/designee will audit staffing ratios daily as well as projected ratios for the upcoming shifts using the PA DOH staffing grid to ensure the required LPN ratios are met. 4. Results of audits will be submitted to the quality assurance committee to determine if further action is needed.

See complete original report
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