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P5530

Inadequate LPN Staffing During Night Shift

Bethlehem, Pennsylvania Survey Completed on 03-12-2025

Penalty

No penalty information released
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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) for every 40 residents during the night shift. This deficiency was identified during a review of nursing time schedules for the period from March 2 to March 8, 2025. Specifically, on the nights of March 3 and March 4, 2025, the facility did not have the required number of LPNs on duty, resulting in inadequate staffing levels for the residents during the overnight hours.

Plan Of Correction

1,2) LPN staffing ratios will be reviewed for the last 7 days to evaluate if LPN ratio is met. 3) Nursing admin and scheduler will be re-educated on new July 1 LPN nurse staffing ratio and PPD requirements. 4) Weekly audit of LPN ratios will be conducted for 60 days by NHA/designee to ensure LPN ratio is met. Tracking and trends to be submitted to QAPI committee for any further action needed.

See complete original report
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