Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
P5530

LPN Staffing Shortages During Day Shift

Lower Burrell, Pennsylvania Survey Completed on 02-05-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to meet the regulatory requirement of providing a minimum of one Licensed Practical Nurse (LPN) per 25 residents during the day shift on six specific days. This deficiency was identified through a review of nursing time schedules and staff interviews. The facility's census data and nursing time schedules from January 12, 2025, to February 1, 2025, revealed LPN staffing shortages on January 16, 18, 19, 24, 26, and February 1, 2025. On these dates, the number of LPN Full Time Equivalents (FTE) present was below the required number based on the resident census. For instance, on January 16, 2025, with a census of 63 residents, only 2.44 FTEs were present when 2.52 were required. The Nursing Home Administrator confirmed these staffing shortages during an interview on February 5, 2025, acknowledging the facility's failure to meet the staffing requirement without additional higher-level staff to compensate for the deficiency.

Plan Of Correction

Immediate Action: The residents had no negative outcome for not meeting the minimum of one LPN per 25 residents on day shift. The facility has hired additional staff, holds daily staffing meetings to track staffing, and added additional agencies to utilize for staffing needs. Education: DON/designee will provide the Staffing Coordinator/HR with re-education on the Pennsylvania staffing requirements for ratios. Audits: Staffing coordinator/designee will audit the ratios 3 times weekly for 2 weeks and monthly x1 month.

See complete original report
An unhandled error has occurred. Reload 🗙