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P5530

LPN Staffing Shortage on Day Shift

Cheswick, Pennsylvania Survey Completed on 03-18-2025

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) per 25 residents during the day shift on March 15, 2025. A review of the facility's census data and nursing time schedules from March 3, 2025, through March 16, 2025, revealed a staffing shortage on the day shift of March 15, 2025. On this day, the facility had a census of 97 residents, requiring 36.04 LPN hours, but only 25.00 actual LPN hours were provided. This deficiency was confirmed during an interview with the Nursing Home Administrator on March 18, 2025.

Plan Of Correction

The facility cannot retroactively correct past staffing issues. To prevent this from reoccurring, the Scheduler will be reeducated on staffing Licensed Practical Nurses (LPN) to include expectations of LPN ratios by the DON/ designee. The facility will hold staffing meetings 5 days per week, consisting of the Nursing Home Administrator, Director of Nursing, Human Resources, and Scheduler, to review LPN ratio compliance for upcoming schedules. DON/ designee will monitor LPN ratios 5 days a week and ongoing to ensure compliance. Ad hoc education will be provided as needed. The results of the meeting will be forwarded to the facility QAPI committee for further review and recommendations.

See complete original report
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