(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
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Observations:
There is continued non-compliance with this regulation; citation will be re-issued.
| | Plan of Correction - To be completed: 12/28/2025
Facility cannot retroactively correct. The facility shall make reasonable attempts to acquire new staff, including offering competitive pay rates, shift differentials, partnering with local community schools, and offering employee benefits. Facility is currently offering bonuses. A new sign-on structure and recruitment incentive was introduced 10/1/25. Open interviews were conducted in November with additional staff hired. The staffing team projects PPD and ratios for 2 weeks which is discussed in a staffing meeting daily. The NHA/DON/Human Resources Director will review previous day, actual PPD and ratio and address projected 2-week schedule on an ongoing basis. Audit is completed during meeting of projected staffing, actual staffing PPD/Ratio for previous day. A review of PA Code 211.12 will be completed with NHA and DON. Additional education will be provided to the staff scheduler. Results of audit to be reported to QAPI committee.
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