Failure to Maintain RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure the presence of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified for six specific days within a 90-day review period from January 1st, 2025, through March 31st, 2025. The absence of RN coverage occurred on weekends, specifically on two consecutive Saturdays and Sundays in January and February. Interviews with the Business Office Manager (BOM), Director of Nursing (DON), and Administrator revealed that the facility faced challenges in finding RNs to cover these shifts. Although the DON occasionally filled in during these gaps, these instances were not documented in the timesheets. The facility did not have a specific policy for RN coverage and relied on CMS guidelines.