Failure to Meet LPN Staffing Ratios
Penalty
Summary
The facility failed to comply with the regulation requiring a minimum number of Licensed Practical Nurses (LPNs) per resident during the night shift. Specifically, the facility did not meet the required ratio of one LPN per 25 residents for seven consecutive days, from December 20, 2024, through December 26, 2024. This deficiency was identified through a review of nursing time schedules, which revealed the shortfall in staffing levels. The issue was confirmed by the facility's administrator, Employee E1, on December 26, 2024, at approximately 12:45 p.m.
Plan Of Correction
Preparation and/or execution of his plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed in accordance with federal and state law requirements. Nursing schedules were reviewed to ensure the proper LPN ratio on the evening shifts. NHA/designee will reeducate the scheduler, Nurse Supervisors, and Nursing Management on the correct LPN ratios. NHA/designee will audit the nursing schedules in advance daily x4 weeks to ensure LPN's are being staffed at the proper ratio. Results will be shared at QA monthly until substantial compliance is met.