LPN Staffing Shortages Identified
Penalty
Summary
The facility failed to meet the regulatory requirement for staffing Licensed Practical Nurses (LPNs) as evidenced by a review of nursing time schedules and staff interviews. Specifically, the facility did not provide the minimum required number of LPNs per residents on one day shift and three night shifts within a 21-day period. On the day shift of January 19, 2025, with a census of 80 residents, the facility provided 23.98 actual LPN hours instead of the required 25.60 hours. On the night shifts of January 10, 13, and 21, 2025, the facility also fell short of the required LPN hours, with actual hours ranging from 16.00 to 16.60, while the required hours ranged from 16.20 to 16.80. The Nursing Home Administrator confirmed these staffing shortages during an interview on January 22, 2025.
Plan Of Correction
1. The facility is unable to retroactively correct the staffing ratio for days: 1/10/25, 1/13/25, 1/19/25, and 1/21/25. 2. The facility will schedule LPNs to state ratio of 1 to 25 for day shifts, and 1 to 40 for midnight shifts. Call outs will be monitored by NHA/DON and/or designee. Facility staff as well as staffing agencies will be utilized to facilitate replacement/procurement of staff. 3. NHA or designee will educate the scheduling coordinator on the requirements of LPN ratios of 1 to 25 for day shifts, and 1 to 40 for midnight shifts. The staffing ratio will be monitored weekly x4 weeks. 4. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring or changes needed.