LPN Staffing Deficiency on Day Shifts
Penalty
Summary
The facility failed to meet the required staffing levels for Licensed Practical Nurses (LPNs) on the day shift for two specific days. On December 21, 2024, the facility had a census of 155 residents and required 48.60 LPN hours but only provided 48.27 hours. Similarly, on January 19, 2025, with a census of 160 residents, the facility needed 51.20 LPN hours but only provided 50.33 hours. This deficiency was confirmed during an interview with the Nursing Home Administrator on February 3, 2025, who acknowledged the shortfall in LPN hours on the specified shifts.
Plan Of Correction
Review of LPN Staffing Ratios: The facility reviewed the LPN staffing ratios for December 19, 2024, and January 19, 2025. No grievances were filed, and resident care was not negatively affected on those dates due to staffing ratios. Expanded Review: Additional dates were reviewed to ensure that LPN staffing ratios were met and to confirm that resident care levels were not adversely impacted. Education on Staffing Ratios: The scheduling coordinator will be educated on the LPN staffing ratio requirements: - Day Shift: Minimum of 1 LPN per 25 residents. - Evening Shift: Minimum of 1 LPN per 30 residents. - Night Shift: Minimum of 1 LPN per 40 residents. Monitoring and Audits: The NHA or designee will conduct audits of LPN staffing ratios for all shifts. These audits will be conducted weekly for four weeks to ensure compliance. Quality Assurance Reporting: Audit results will be reviewed at the Quality Assurance and Performance Improvement (QAPI) committee for evaluation and further action as needed.