Failure to Meet LPN Staffing Ratios
Penalty
Summary
The facility failed to meet the required licensed practical nurse (LPN) to resident ratios on three separate night shifts out of 21 reviewed. Specifically, on January 15, 19, and 21, 2025, the facility did not provide the minimum LPN staffing levels required by regulation. On January 15, the facility had 2.20 LPNs instead of the required 2.28 for a census of 91 residents. On January 19, there were 1.33 LPNs instead of the required 2.20 for a census of 88 residents. On January 21, the facility had 2.03 LPNs instead of the required 2.25 for a census of 90 residents. No additional higher-level staff were available to compensate for this deficiency. An interview with the Nursing Home Administrator confirmed the facility's failure to meet the required LPN to resident ratios on these dates.
Plan Of Correction
1. Facility cannot retroactively correct the failure to meet the ratio requirements of the LPN's as identified in the outlined PA-2567. 2. Education given to the Nurse Scheduler and Director of Nursing on the LPN's ratio requirements. 3. Facility is actively recruiting LPN's through outside marketing sources; utilizing outside Nurse Agency to supplement LPN's; and daily staffing meetings being conducted in attempts to maintain State Mandated ratios for LPN's. 4. The Administrator will audit the staffing schedules to ensure the appropriate number of LPN's are scheduled to achieve compliance. Audits will occur three times per week for one week; weekly for four weeks and monthly for four weeks. The results of the audits will be submitted to the QA Committee.