LPN Staffing Deficiencies in 2024
Penalty
Summary
The facility failed to maintain the required staffing ratios for Licensed Practical Nurses (LPNs) during various shifts over several weeks in 2024. Specifically, the facility did not meet the minimum LPN staffing requirements during the day, evening, and overnight shifts on multiple occasions. For instance, on July 4, 2024, during the day shift, the facility provided only 40.50 LPNs, while the required number was 41.92. Similar deficiencies were noted on other dates, such as July 6, 2024, and November 3, 2024, where the facility consistently fell short of the required LPN staffing levels. The review of nursing staff schedules and punch reports confirmed these deficiencies, as discussed with the facility's Scheduler, Employee E7. The report highlights specific dates and shifts where the facility did not meet the mandated LPN-to-resident ratios, indicating a pattern of non-compliance with staffing regulations. These findings were based on a comprehensive review of the facility's staffing data over the specified periods.
Plan Of Correction
Director of Nursing will conduct a random audit of 30 days throughout the quarter and findings will be reported quarterly at QAPI. Scheduler and Nursing Leadership were educated as to the need for full staffing requirement for all three shifts, seven days each week at a 3.20 HPPD. Our issue is call-outs so we have been following our disciplinary process as well as putting extra staff on.