Failure to Meet Minimum LPN Staffing Requirement on Night Shift
Penalty
No penalty information released
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 state-required minimum staffing level of one licensed practical nurse (LPN) per 40 residents during the night shift on one of 21 reviewed days. Review of three weeks of nurse staffing schedules revealed that on 5/31/25, the facility did not have the required number of LPNs scheduled for the night shift, with a census of 124 residents and only 3.00 LPNs present instead of the required 3.10. During interviews, a resident reported that nurse aides were responsible for more residents than expected, indicating concerns about understaffing on the hallway. This deficiency was communicated to the Nursing Home Administrator and Director of Nursing during the exit interview.