Failure to Meet LPN Staffing Ratios
Penalty
Summary
The facility failed to meet the minimum nursing staff to resident ratios for Licensed Practical Nurses (LPNs) on the day shift for three consecutive days. Specifically, on March 8, 2025, the facility provided only 15.50 hours of LPN service for a census of 49 residents, falling short of the required 15.68 hours. On March 9, 2025, the facility provided 15.73 hours of LPN service for a census of 50 residents, below the required 16.00 hours. Similarly, on March 10, 2025, the facility again provided only 15.68 hours of LPN service for a census of 50 residents, not meeting the required 16.00 hours. This deficiency was confirmed in an interview with the Administrator and Director of Nursing on March 19, 2025.
Plan Of Correction
1. The facility reviewed the LPN ratios for March 8th, 9th, and 10th. No grievance or residents care were affected on those dates due to staffing ratios. 2. Other days were reviewed to see if ratios were met and if care levels were affected. 3. Scheduling coordinator will be educated on LPN ratios for day shift, evening shift, and night shift. Facility will attempt with every reasonable resource to ensure ratios are met. 4. DON/designee will conduct daily audits to verify LPN ratios for all shifts weekly x 4 weeks. Results will be presented to QAPI.