LPN Staffing Deficiency on Day and Overnight Shifts
Penalty
Summary
The facility failed to meet the required staffing levels for Licensed Practical Nurses (LPNs) during specific shifts on three separate days. On two occasions during the day shift, the facility did not provide the minimum required number of LPNs per resident. Specifically, on October 6, 2024, and November 24, 2024, the facility had 4.03 and 4.0 LPNs respectively for a census of 103 residents, whereas 4.12 LPNs were required. Additionally, on October 12, 2024, during the overnight shift, the facility provided 2.06 LPNs for a census of 104 residents, falling short of the required 2.60 LPNs. These deficiencies were identified through a review of nursing care hours and were discussed with the Nursing Home Administrator and the Director of Nursing on January 16, 2025.
Plan Of Correction
1. Facility cannot retroactively correct LPN staffing ratio. 2. Director of Nursing/Designee will conduct an initial audit of the past two weeks schedule to determine if LPN ratio is in compliance. 3. Director of Nursing/Designee will re-educate the scheduler on the proper LPN staffing ratios. The facility will hold labor meetings Monday-Friday to verify ratios are made. 4. Director of Nursing/Designee will conduct random audits of LPN staffing weekly for four weeks, then monthly for two months thereafter to verify proper LPN ratios. Results of audits will be reviewed by the Quality Assurance Performance Improvement Committee and changes will be made as necessary.