LPN Staffing Deficiency During Night Shift
Penalty
Summary
The facility failed to meet the required staffing ratios for Licensed Practical Nurses (LPNs) during the night shift on three occasions between December 4 and December 10, 2024. Specifically, on December 4, the facility had a census of 45 residents, necessitating 1.13 LPNs, but only 0.25 LPNs were available. On December 8, with a census of 44 residents, 1.10 LPNs were required, yet only 1.00 LPN was present. Similarly, on December 10, the census was 42, requiring 1.05 LPNs, but only 1.00 LPN was on duty. The Director of Nursing confirmed these staffing deficiencies, and no additional higher-level staff were available to compensate for the shortfall.
Plan Of Correction
The facility attempts to schedule staff to meet the ratios per current state regulations. The facility offers shift bonuses to employees who pick up extra shifts or stay over in case of a call off. Registered Nurses, Licensed Practical Nurses, and Nursing Administration all assist to fill in as supplemental staff. An active recruitment campaign is ongoing including sign on bonuses, shift differentials, and employee referral bonuses. Admissions are being limited and denied due to staffing challenges. Nursing Administration will continue to review staffing ratios daily and attempt to cover call off holes as needed. Day sheets will be reviewed daily x5 weekly x2 then biweekly ongoing with payroll review with reports to Quality Assurance.