LPN Staffing Deficiency on Night Shift
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of one Licensed Practical Nurse (LPN) per 40 residents during the night shift. On January 21, 2025, the facility had a census of 146 residents, necessitating 3.65 LPNs for adequate coverage. However, the nursing time schedules revealed that only one LPN was available to provide care during the night shift, resulting in a staffing shortage. The Nursing Home Administrator confirmed this deficiency during an interview conducted on February 5, 2025, acknowledging the failure to meet the required staffing levels.
Plan Of Correction
DON will educate Administrator and Staffing Coordinator on the staffing ratios. Staffing meetings will be held 5 days per week to review ratios from the prior day(s) and the projected staffing to the upcoming week to ensure appropriate staffing levels are planned. Identified staffing needs will be offered to existing staff and contracted agencies, as needed, by the Administrator/designee. Should additional staff be needed during the after hours shifts, the administrator/designee should provide more shifts on agencies platforms. The facility will continue to recruit staff through use of company platforms and recruiter representatives. Audits of staffing ratios will be completed by the NHA/designee to ensure that the facility meets daily hours requirements and LPNS staffing ratio requirements. Audits will be completed by the administrator during the staffing meetings.