LPN Staffing Ratio Deficiency
Penalty
Summary
The facility failed to meet the required staffing ratios for licensed practical nurses (LPNs) during specific shifts over a 21-day review period. On November 20, 2024, the facility provided one LPN per 27 residents during the day shift, which did not meet the minimum requirement of one LPN per 25 residents. Additionally, on November 21, 2024, the facility provided one LPN per 28 residents during the day shift, again failing to meet the required ratio. Furthermore, on the overnight shift of November 20, 2024, the facility provided one LPN per 46 residents, falling short of the required one LPN per 40 residents. These deficiencies were confirmed through a review of nursing schedules and an interview with the Nursing Home Administrator on December 5, 2024.
Plan Of Correction
The Administrator, Director of Nursing, Scheduler, and Human Resource Director will be educated on the state requirement for Licensed Practical Nurse hours including the LPN to resident ratios by the Clinical Consultant/designee. Staffing meetings will be held 5 days a week to review the LPN ratio for the current day and the projected LPN ratio for the upcoming day to ensure appropriate staffing levels by the Nursing Home Administrator/designee. If LPN hours cannot be secured by using in-house staff, staffing agencies will be utilized. Audits of ratios will be reviewed at quality assurance and performance improvement meeting x3 months.