Failure to Post Up-to-Date Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that up-to-date nurse staffing information was posted on one of the three days observed by surveyors. On March 24, 2025, at 9:00 AM, the posted staffing information was dated March 22, 2025, with a resident census of 60, indicating that the information was not current. By 10:12 AM on the same day, the staffing posting had still not been updated. The facility's policy, dated November 19, 2019, requires that staffing information, including the facility name, current date, total number, and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides, be posted daily at the beginning of each shift in a clear and readable format in a prominent place accessible to residents and visitors. The facility is also required to maintain this data for a minimum of 18 months. Photographic evidence was obtained to support these findings.
Plan Of Correction
1. Re-education provided to staffing coordinator by NHA on requirement to post nurse staffing information daily on. 2. No other areas or residents were affected by deficient practice. 3. Reeducation by NHA on was provided to IDT team on requirement for posting up-to-date staffing information daily. 4. The administrator or designee will complete quality assurance check weekly 5X a week for 6 weeks then 3X a week for an additional 6 weeks to ensure up-to-date staffing information is posted daily. 5. All results of the quality assurance checks/audits will be monitored and reviewed by the QA&A committee monthly until substantial compliance is assured.