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P5530

LPN Staffing Shortfall on Day Shift

New Castle, Pennsylvania Survey Completed on 01-09-2025

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) on the day shift for one of the days reviewed. Specifically, on November 28, 2024, the facility had a census of 101 residents, which required 4.04 LPNs to meet the regulatory staffing ratio of one LPN per 25 residents. However, only 3.67 LPNs were on duty that day, resulting in a staffing shortfall. This deficiency was confirmed during an interview with the Nursing Home Administrator on January 9, 2025, who acknowledged the failure to meet the minimum LPN ratio requirements for the specified shift and date.

Plan Of Correction

1. The facility is unable to retroactively correct the staffing ratio for days: 11/28/2024. 2. Nursing home administrator immediately audited future schedules for compliance with regulatory guidance for staffing of LPN. 3. Nursing home administrator/designee will schedule LPNs to state ratio of 1 to 25 for day shift, 1 to 30 for afternoon shifts and 1 to 40 for midnight shifts. Call outs will be monitored by nursing home administrator/Director of Nursing and/or designee daily. Facility staff and staffing agencies will be utilized to facilitate replacement/procurement of staff. Facility has put into place sign on bonus' to increase applicants as well as pick up bonus' to increase retention. 4. Nursing home administrator/designee will educate the scheduling coordinator, director of nursing, assistant director of nursing, and human resources on the requirements of LPN ratios of 1 to 25 for day shift, 1 to 30 for afternoon shifts and 1 to 40 for midnight shifts. 5. Nursing home administrator and/or designee will monitor staffing ratio weekly x4 weeks. 6. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring and changes needed.

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