P5530

LPN Staffing Deficiency

Lancaster, Pennsylvania Survey Completed on 01-10-2025

Penalty

No penalty information released

Summary

The facility failed to meet the state regulation requiring a minimum of one Licensed Practical Nurse (LPN) per 25 residents during the day shift on two specific days. On January 4, 2025, with a census of 372 residents, the facility was required to provide 119.0 LPN hours but only provided 106.17 hours. Similarly, on January 5, 2025, with a census of 374 residents, the required LPN hours were 119.68, but the facility provided only 114.89 hours. These deficiencies were confirmed during a telephone conversation with the Nursing Home Administrator on January 10, 2025.

Plan Of Correction

Preparation and/or execution of this plan of correction does not constitute an admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of Federal and State Law. The plan of correction represents the facility's credible allegation of compliance.

P 5530
Effective July 1, 2023 a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.

1. Findings of LPN nursing staff care ratios cannot be retroactively corrected.
2. The facility will provide a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
3. The scheduling coordinators will be educated on the requirements of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
4. NHA or designee will conduct random audits to verify that LPN ratios on all shifts meet the requirements of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight. Audits will be conducted daily x 7 days then weekly for 3 weeks and then monthly for 2 months. Audit results will be presented at QAPI meeting for review and recommendations.