Who I Am Today
I'm a Licensed Practical Nurse with experience in behavioral health, geriatric nursing, and long-term care.
My work has taught me the importance of patience, clinical judgment, compassion, and treating every patient with dignity, particularly during difficult or vulnerable moments.
I also hold a Bachelor of Arts in Spanish Language and Literature, with a minor in Criminal Justice. My long-term goal is to continue my nursing education and become a Registered Nurse.
My Professional Journey
On my last day at CenterPointe, I was named Employee of the Month. I regularly received kudos cards for my work, and my assistant director of nursing told me I was someone who could earn a DAISY Award.
Leading up to the two days addressed in my settlement agreement, I was pushing myself too hard and spreading myself thin. My prescribed Adderall wasn’t lasting through the hours I was working, and I kept trying to push through. That was part of what was going on when I made those choices. I take responsibility for the decisions I made, and I’ve learned to recognize when the hours I’m working are more than I can safely manage.
One of the most significant lessons I've learned is that accountability isn't simply acknowledging a mistake. It's understanding its consequences, accepting responsibility, and demonstrating growth through consistent actions.
I recognize that rebuilding professional trust takes time. I don't expect my words alone to establish that trust.
I believe my actions must speak for themselves.
Where I Stand Today
I hold an active Missouri Licensed Practical Nurse license subject to probationary conditions established through a settlement agreement with the Missouri State Board of Nursing.
I recognize the seriousness of these conditions and my responsibility to comply with them.
My probation includes requirements and restrictions affecting my nursing practice and employment. I am committed to communicating those restrictions openly, following the applicable requirements, and maintaining professional accountability.
I understand that employers must be able to make informed decisions about my employment and nursing responsibilities.
Current Licensure and Practice Restrictions
No administrative, faculty, or preceptor role at a professional or practical nursing school. No school nursing or nursing work for the Department of Corrections.
Restrictions tied to time worked
The agreement sets these restrictions for a minimum of two years of nursing employment. It defines nursing employment as working at least 96 hours per month in a licensed nursing position.
- Work for one nursing employer at a time. No staffing agency or travel assignments, home visits, substance abuse treatment facilities, or critical care specialties such as emergency departments, intensive care, cardiac catheterization, labor and delivery, or PACU.
- Work only on regularly assigned, predetermined units. Floating between units or departments to meet staffing needs is prohibited.
- Maximum 12 hours in 24 hours, 48 hours in seven days, and 84 hours in two weeks.
- No position, licensed or unlicensed, that allows access to or accountability for controlled substances, prescription pads, or electronic prescription access.
- As an LPN, work under a physician, RN, or LPN who is on facility grounds and readily available. The supervisor can be on a different unit.
- No employment in a supervisory capacity involving personnel decisions or official staff evaluations. Supervising patient care techs, CNAs, CMTs, and other ancillary personnel and making room and patient assignments are permitted.
Source: Employment Restrictions, pages 8–9 of the executed settlement agreement effective October 28, 2026. The agreement provides the governing terms.
Accountability and Transparency
I believe accountability and accuracy are equally important. I accept responsibility for my actions and want employers to have the governing terms in hand when making decisions about my nursing responsibilities.
Settlement Agreement
My executed Missouri State Board of Nursing settlement agreement contains the complete terms of my probation, including reporting obligations and practice restrictions.
Moving Forward
I'm not asking you to look past my history. I'm asking for the chance to show through my actions the nurse I've become and the professional I'm still working to be.
I understand that trust must be earned, and I am committed to earning it through honesty, consistency, responsible nursing practice, and continued growth.
My past is part of my story, but it isn't where I intend for my story to end.
Koby Grant, LPN