LPN Staffing Shortage on Day Shift
Penalty
Summary
The facility failed to meet the required staffing ratios for Licensed Practical Nurses (LPNs) during the day shift on December 7, 2024. According to the regulation effective July 1, 2023, the facility must have a minimum of one LPN per 25 residents during the day. On the specified date, the facility had a census of 64 residents, necessitating 2.56 LPNs, but only 2.23 LPNs were on duty. This staffing shortage was confirmed by the Nursing Home Administrator during an email correspondence interview on December 23, 2024.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. 1. The facility cannot correct that the Licensed Practical Nursing staffing ratio was not met during one shift on 12/7/24. There were no adverse effects to residents on the identified date. 2. Weekend nursing supervisors and scheduler will be re-educated regarding the state ratios by the Director of Nursing/ designee. 3. Schedule with ratios are reviewed at our stand-up meeting. 4. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing ratios, the scheduler/or designee will call off duty facility staff, notify Director of Nursing, and will utilize pick-up bonuses. 5. All nursing positions are actively posted in recruitment and are sponsored ads. 6. Facility will hold a recruitment/retention committee. 7. Call offs will continue to be monitored and disciplines will be issued, as appropriate. 8. Director of Nursing/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. 9. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations. 10. Accepting new admissions will depend on staffing levels.