Failure to Meet LPN to Resident Ratios
Penalty
Summary
The facility failed to meet the required licensed practical nurse (LPN) to resident ratios on multiple occasions over a 21-day period. Specifically, the facility did not maintain the minimum ratio of one LPN per 25 residents during the day shift on several days, including December 19, 22, 25, and 27 through 30, 2024. Additionally, the evening shift ratio of one LPN per 30 residents was not met on December 24, 2024, and January 2, 2025. Furthermore, the night shift ratio of one LPN per 40 residents was not adhered to on December 15, 21, and 25, 2024. These deficiencies were identified through a review of the nursing schedules for the specified period.
Plan Of Correction
1) Findings of LPN staff care ratios cannot be retroactively corrected. 2) Facility will provide a minimum of one LPN per 25 residents during dayshift, a minimum of one LPN per 30 residents during the evening shift, and a minimum of one LPN per 40 residents during the overnight. 3) Scheduler will be educated on the requirements of one LPN per 25 residents during the day shift, a minimum of one LPN per 30 residents during evening shift, and a minimum of one LPN per 40 residents during the overnight shift. 4) NHA/designee will conduct random audits to verify that LPN dayshift, evening shift, and overnight shift ratios meet the requirements weekly for 4 weeks. Audit results will be presented at the QAPI meeting for review and recommendations.