Failure to Ensure RN Coverage 8 Hours Daily
Penalty
No penalty information released
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 ensure the presence of a Registered Nurse (RN) for 8 hours a day, 7 days a week, from April 1, 2024, to December 28, 2024. This deficiency was identified through a review of the Payroll Based Journal (PBJ) for Fiscal Year Quarter 3, which revealed multiple dates where no RN was on duty. The absence of an RN on these dates had the potential to affect the quality of care and quality of life of residents, putting them at risk for injury due to the lack of oversight in their care. During an interview and concurrent record review on April 3, 2025, the Director of Nursing (DON) confirmed the absence of a dedicated RN to oversee resident care on weekends and other specified days.