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P5530

LPN Staffing Shortages During Overnight Shift

Brockway, Pennsylvania Survey Completed on 04-14-2025

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 required staffing levels for Licensed Practical Nurses (LPNs) during the overnight shift on two specific days. On 4/04/25 and 4/06/25, the facility did not have the mandated minimum of one LPN per 40 residents. On both days, the census was 36 residents, but the facility only had 0.16 and 0.88 LPNs working, respectively, when 1.00 LPN was required. This deficiency was confirmed by the Nursing Home Administrator during an interview on 4/14/25.

Plan Of Correction

*No residents were found to be negatively affected by failing to meet the licensed practical nurse ratios. *Residents will be visually monitored each shift by the RN supervisor to ensure the residents are receiving quality care. *Scheduler, RN Supervisors, Director of Nursing and Assistant Director of Nursing will be educated on the proper licensed practical nurse ratios for each shift. *Daily staffing sheets and the biweekly schedule will be reviewed by the Administrator, Director of Nursing, and Scheduler Monday-Friday to assure that proper nurse aide ratios are being met. This is an ongoing process that has no end date. *Job ads are posted on Indeed and active hiring is occurring. *Admin nursing fill in for open shifts when call-offs occur. Licensed practical nurses and registered nurses who are currently working are asked to stay into another shift and those who are not on the schedule are called to come in. *Staff who call off are given progressive discipline so they understand the importance of calling off for their scheduled shifts. *Staffing ratios will be reviewed at Quality Assurance Process Improvement meetings.

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