LPN Staffing Deficiency in LTC Facility
Penalty
Summary
The facility failed to meet the required staffing levels for Licensed Practical Nurses (LPNs) during specific shifts over several weeks. The regulation mandates a minimum of one LPN per 25 residents during the day and one LPN per 40 residents overnight. However, the facility did not meet these requirements on nine out of twenty-one days reviewed. Specifically, during the day shift, the facility consistently fell short of the minimum required LPN hours, with actual hours ranging from 66.0 to 66.0, while the required hours varied from 67.32 to 70.40. Additionally, on one night shift, the facility provided 41.25 hours of LPN coverage, falling short of the required 42.69 hours. These deficiencies were discussed with the facility's administration on January 31, 2025.
Plan Of Correction
Step 1 The facility is currently staffed at or above state minimum requirements. Step 2 The facility will partner with agencies to ensure that LPN minimum requirements are met, allowing for better management of last-minute callouts and unexpected staffing events. Step 3 The staff coordinator and other administrative staff involved in coordinating staffing educated on federal and state CNA staffing requirements. Step 4 The NHA or designee will audit staffing levels weekly x4 and monthly x2. Results will be reviewed during the monthly QAPI meeting.