LPN Staffing Deficiencies in November and December 2024
Penalty
Summary
The facility failed to meet the required LPN-to-resident staffing ratios on specific days in November and December 2024. On November 17, 2024, the facility had a census of 80 residents, necessitating 2.00 LPNs during the day shift, but only 1.91 LPNs were available. Similarly, on November 23, 2024, with a census of 79 residents, 1.98 LPNs were required, yet only 1.47 LPNs were present. This indicates a shortfall in staffing levels during the day shift on these dates. Additionally, the facility did not meet the required staffing ratios during the overnight shift on December 17 and 18, 2024. On December 17, with a census of 82 residents, 2.05 LPNs were needed, but only 2.03 LPNs were available. On December 18, with a census of 81 residents, 2.03 LPNs were required, but only 2.00 LPNs were present. The Nursing Home Administrator confirmed these deficiencies, and no additional higher-level staff were available to compensate for the shortfall.
Plan Of Correction
1. The facility will continue to take measures to adequately provide staff to ensure the needs of the residents are met. 2. The facility will continue to take measures to adequately provide staff to meet the required Licensed Practical Nurses to resident ratios on all shifts. When total Licensed Practical Nurses to resident ratios is unable to be met, the facility will reevaluate the scheduling of new admissions. The Nursing Home Administrator or designee will provide education on minimum staffing ratios to the Registered Nurse Supervisor and Scheduler who are responsible to maintain adequate staffing and staffing ratios. 3. The Nursing Home Administrator or designee will audit daily schedules to ensure minimum number of staff are scheduled to meet the needs of the residents weekly times two weeks and monthly times two months. 4. The results will be reviewed at Quality Assurance Performance Improvement meetings until substantial compliance has been met.