LPN Staffing Ratio Deficiency
Penalty
Summary
The facility failed to meet the required staffing ratios for Licensed Practical Nurses (LPNs) on multiple occasions during the week of December 8, 2024. Specifically, the facility did not have the mandated one LPN per 25 residents during the day shift on December 8, 10, 11, and 13, 2024. Additionally, the evening shift on December 13, 2024, did not meet the requirement of one LPN per 30 residents. Furthermore, the night shift on December 14, 2024, failed to have one LPN per 40 residents. This deficiency was confirmed through a review of facility staffing data and an interview with the Nursing Home Administrator on December 17, 2024, at 1:45 p.m., who acknowledged that the staffing ratios were not met on the specified dates.
Plan Of Correction
1. Scheduler will continue to schedule sufficient staffing for shift. 2. If a call off occurs, Scheduler or Shift Supervisor will check to see who can stay late or come in early and also post shift(s) with agency. 3. If aide position cannot be filled in time, Scheduler or Shift Supervisor will check to see if any nurses can stay late or come in early and will adjust staffing sheet to indicate any hours a nurse may have filled in as an aide. 4. Facility will continue to work on staff recruitment and retention as identified in our Facility Assessment. 5. Facility is participating in a job fair on 10/30/2024 to recruit more staff. 6. Facility will schedule additional staffing through staffing resources available to the facility.