Inaccurate Nurse Staffing Information Displayed
Summary
The facility failed to display accurate Posted Nurse Staffing Information for 4 out of 30 days reviewed. On multiple occasions, discrepancies were found between the Staff Schedule/Assignment Sheet and the Posted Nurse Staffing information. For instance, on 07/19/24, the Posted Nurse Staffing indicated 11 Nursing Assistants (NAs) worked, while the actual schedule showed only 10 NAs. Similar inconsistencies were noted on 07/21/24, where the number of NAs, Licensed Practical Nurses (LPNs), and Registered Nurses (RNs) listed on the Posted Nurse Staffing did not match the actual staff working according to the schedule. These discrepancies were repeated on 07/22/24 and 07/23/24, with variations in the reported and actual numbers of NAs, LPNs, and RNs working different shifts. Interviews with the Human Resource Coordinator revealed that errors in the staffing sheets were due to counting an unlicensed staff member twice and mixing up dates, leading to incorrect postings. The Coordinator confirmed that the staffing sheets for the specified dates did not match the staff posting sheets. The Administrator also acknowledged the expectation that the daily nurse staff sheets and assignment sheets should accurately reflect the correct number of staff working, indicating a failure in maintaining accurate staffing records.
Penalty
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The facility did not consistently post nurse staffing data at the beginning of each shift, nor did it include the required resident census on the posted forms. Staffing forms were often completed only once per day, and there was no designated staff to post them on weekends. Interviews revealed that the DON and other staff were unaware of the requirement to post this information each shift, and there was no facility policy in place to ensure compliance.
Daily nurse staffing information was not updated to reflect the current day and did not include the required census number. A CNA confirmed the posting was outdated and incomplete, noting that the scheduler responsible for updates was on vacation. This issue was identified during a complaint investigation and had the potential to affect all residents.
The facility did not consistently post daily nurse staffing information with all required details, such as facility name, resident census, and actual hours worked by licensed and unlicensed staff. Staff postings were often incomplete, undated, or missing, and this issue was confirmed by interviews with HUCs, the DON, and the Administrator.
The facility did not update or post current daily nurse staffing information at the front desk, as required, with staff and DON confirming that the information displayed was several days out of date. This issue was identified during a complaint investigation and had the potential to affect all residents.
The facility did not update the daily nurse staffing information as required, with the posted information reflecting the previous day. The DON confirmed the information was not current at the time of observation, potentially affecting all residents.
Surveyors found that daily nurse staffing information was not posted in the Cornerstone Cottage, as required. This was confirmed by the Administrator and affected all residents living in that area of the facility.
Failure to Post Required Nurse Staffing Data and Resident Census Each Shift
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted daily at the beginning of each shift, including weekends, and that the posted information contained the required resident census. Review of daily staffing forms over a two-and-a-half-month period revealed that the resident census was not documented for each shift, and on multiple occasions, the staffing form was either missing or incomplete. Observations confirmed that the posted forms did not include the resident census and, at times, were not posted at all. Interviews with the DON and other staff indicated a lack of awareness regarding the requirement to post staffing data at the start of each shift and to include the resident census. The DON reported that staffing forms were typically completed and posted once per day during weekdays, with projected staffing posted for weekends, but no one was designated to post the forms on weekends. Corporate staff confirmed there was no policy in place for posting nurse staffing data, and the facility relied on federal regulations. These practices had the potential to affect all 90 residents in the facility.
Failure to Timely and Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted both timely and accurately. On the morning of 06/10/25, the posted staffing information was observed to be for the previous day, 06/09/25, and did not include the facility census as required. During an interview at the time of observation, a CNA confirmed that the information had not been updated for the current day and that the scheduler, who was responsible for updating the posting, was on vacation. The CNA also verified that the census number was missing from the displayed information. This deficiency was identified incidentally during a complaint investigation and had the potential to affect all 75 residents in the facility.
Failure to Post Complete Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted as required. Observations and interviews revealed that the daily staff postings did not include essential information such as the facility name, resident census, and the actual hours worked by licensed and unlicensed nursing staff. Instead, postings only listed staff assignments, and some documents were undated or incomplete. Health Unit Coordinators (HUCs) confirmed that several postings were missing required details, and some could not be located for specific dates. Further interviews with the Director of Nursing and the Administrator confirmed that the expectation was for staff postings to be completed correctly every day, both in the morning and evening. However, the documentation provided for review consistently lacked the necessary information, affecting all 54 residents currently residing in the facility. No specific residents or their medical conditions were mentioned in relation to this deficiency.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nursing staffing information was posted as required, potentially affecting all 63 residents in the facility. Multiple observations on different days revealed that the staffing information displayed at the front receptionist desk was outdated, consistently showing the date 05/12/25 instead of the current date. Staff interviews with both the receptionist and the Director of Nursing confirmed that the posted staffing information had not been updated. This deficiency was identified during the course of a complaint investigation.
Failure to Timely Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted in a timely manner. On the morning of 05/05/25, an observation revealed that the staffing information displayed was for the previous day, 05/04/25, and had not been updated for the current day. During an interview at the time of observation, the DON confirmed that the posted information was outdated and had not yet been updated. This deficiency was identified during a complaint investigation and had the potential to affect all 132 residents in the facility.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted as required in the Cornerstone Cottage. Upon arrival and during subsequent observations, surveyors noted that there was no daily nurse staffing information displayed in any of the common areas or hallways of the Cornerstone Cottage. This deficiency was confirmed during an interview with the Administrator, who acknowledged that the required nurse staffing information was not posted. The lack of posted staffing information affected all ten residents residing in the Cornerstone Cottage at the time of the survey, with the facility census being seventeen.
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