Failure to Meet Minimum LPN-to-Resident Ratios
Penalty
Summary
The facility failed to comply with the required minimum licensed practical nurse (LPN) to resident ratios as specified by regulation. A review of nursing schedules over a 21-day period revealed that the facility did not meet the minimum ratio of one LPN per 25 residents during the day shift on nine separate days. Additionally, the facility did not meet the minimum ratio of one LPN per 40 residents during the night shift on six separate days. These findings were based solely on the review of the facility's nursing time schedules for the specified period. No information was provided regarding the specific residents affected, their medical history, or their condition at the time of the deficiency.
Plan Of Correction
The use of an outside Recruiting Group has assisted with filling vacancies and qualified ancillary staff assist with LPN coverage. An internal agency has been developed that does assist with providing less desirable shift (2nd and 3rd) coverage. Daily staffing huddles occur in which census, open holes, call offs, etc., are addressed. Education to be completed with Nursing Administration, Scheduling, and HR on the importance of maintaining DOH guidelines as it pertains to LPN ratio. Audits to be completed daily by NHA/designee x4 weeks, then bi-weekly x2 weeks, then monthly x2, with results to QAPI meeting. P 5530