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P5530

LPN Staffing Deficiency on Day Shifts

Philadelphia, Pennsylvania Survey Completed on 12-11-2024

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) during the day shifts on two occasions within the week of November 28 to December 4, 2024. Specifically, on December 1, 2024, the facility provided only 8.00 LPNs when 8.40 were required based on the resident census. Similarly, on December 2, 2024, the facility provided 8.00 LPNs while 8.36 were needed. This deficiency was identified through a review of the facility's weekly staffing records and was discussed with the Nursing Home Administrator and the Director of Nursing on December 11, 2024.

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 LPN 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.

See complete original report
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