Failure to Meet Minimum LPN Staffing Ratios
Penalty
Summary
The facility failed to comply with state regulations requiring minimum LPN-to-resident staffing ratios during specific shifts. A review of nursing schedules from July 14, 2025, through August 3, 2025, showed that the facility did not meet the required ratio of one LPN per 25 residents during the day shift on four separate days, and did not meet the ratio of one LPN per 30 residents during the evening shift on one day. Additionally, the facility failed to meet the minimum ratio of one LPN per 40 residents during the night shift on one day. These deficiencies were identified through a review of the facility's nursing time schedules for the specified period. No information about specific residents, their medical history, or their condition at the time of the deficiency is provided in the report.
Plan Of Correction
P 5530 1. LPN ratios for the dates noted in the survey cannot be corrected as this is a past event. 2. Calculation of shift LPN ratios will be completed and reviewed daily for accuracy by the scheduler. 3. The facility has developed internal incentives to retain and attract new staff. Facility has scheduled recruitment appearances at LPN schools to recruit new staff, and introduced employee referral program. Recruitment outreach via social media and messaging to area LPNs encourage joining our facility staff. Agency staff are being utilized in an effort to reach daily shift ratios. The scheduler will look ahead for a minimum of 1 week at projected staffing patterns to enable more time to achieve appropriate LPN ratios as needed. 4. LPN ratios will be audited by scheduler and DON daily for 4 weeks, then 3 days per week x 2 months or until substantial compliance is achieved. Results will be reported to QAPI committee. 5. Date of correction is 08/20/2025.