Failure to Meet Minimum LPN Staffing Ratios
Penalty
Summary
The facility failed to meet the required minimum LPN-to-resident ratios on five out of twenty-one days reviewed, as evidenced by nursing time schedules. Specifically, on two days, the day shift did not have at least one LPN per 25 residents, and on three separate days, the evening shift did not have at least one LPN per 30 residents. These deficiencies were identified through a review of staffing schedules covering the period from late November to mid-December 2025. No information about specific residents, their medical histories, or their conditions at the time of the deficiency is provided in the report.
Plan Of Correction
1,2) LPN staffing ratios will be reviewed for the last 7 days to evaluate if LPN ratios are met. 3) Nursing admin and scheduler will be re-educated on new July 1 nurse staffing and PPD requirements. 4) Weekly audit of LPN ratios will be conducted for 60 days by NHA/designee to ensure LPN ratios are met. Tracking and trends to be submitted to the QAPI committee.