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P5530

LPN Staffing Shortage During Night Shift

Pittsburgh, Pennsylvania Survey Completed on 12-27-2024

Penalty

No penalty information released
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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 regulatory requirement of providing a minimum of one LPN per 40 residents during the night shift on one of the seven days reviewed. Specifically, on the night of December 21, 2024, the facility had a census of 77 residents, necessitating 1.93 LPNs to meet the staffing requirement. However, only 1.89 LPNs were present, resulting in a staffing shortage. This deficiency was confirmed through a review of nursing schedules and an interview with the Nursing Home Administrator on December 27, 2024.

Plan Of Correction

1. Staffing coordinator will be educated on LPN ratio requirements. 2. A scheduling app has been implemented for direct care staff and staff are acclimating to the procedures of applying for shifts and picking up open shifts/called off shifts. 3. Facility conducts daily labor meetings attended by DON and NHA to manage direct care staff and monitor LPN ratios and track new applicants/new hires. 4. Staffing coordinator/designee to audit daily staffing sheet x 3 weeks to meet LPN ratio requirements. 5. Results reported to QAPI for review and approval.

See complete original report
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