Failure to Meet Minimum LPN Staffing Ratios Across Multiple Shifts
Penalty
Summary
The facility failed to meet the required minimum staffing ratios for Licensed Practical Nurses (LPNs) across multiple shifts and dates, as mandated by regulation effective July 1, 2023. Specifically, the facility did not provide at least one LPN per 25 residents during the day shift for 11 out of 21 days reviewed, one LPN per 30 residents during the evening shift for six out of 21 days, and one LPN per 40 residents during the overnight shift for 12 out of 21 days. These deficiencies were identified through a review of nursing schedules, staffing information, and facility census data. Detailed examination of the facility's nursing time schedules and census data for the weeks of June 8-14, July 1-7, and September 17-23, 2025, revealed that the number of LPNs scheduled was consistently below the required ratios. For example, on several days when the census required between 1.84 and 2.12 LPNs during the day shift, the actual number of LPNs scheduled ranged from 1.00 to 2.06. Similar shortfalls were observed during the evening and overnight shifts, with the number of LPNs scheduled falling below the required minimums based on the resident census. No additional higher-level staff were available to compensate for these staffing deficiencies on the dates in question. The Nursing Home Administrator confirmed during an interview that the facility did not meet the required LPN-to-resident staffing ratios for the identified dates. The report does not mention any specific residents affected or their medical conditions at the time of the deficiency.