Failure to Post Current Nurse Staffing Information
Penalty
Summary
Kadima Rehabilitation and Nursing at Palmyra was found to have a deficiency related to the posting of nurse staffing information. During an abbreviated survey conducted in response to two complaints, it was observed that the facility failed to post the current nurse staffing information as required by federal and state regulations. Specifically, on April 4, 2025, at 9:57 a.m., the nurse staffing information displayed was dated April 3, 2025, indicating that the facility did not update the information daily as mandated. The deficiency pertains to the requirements outlined in 42 CFR Part 483, Subpart B, and the 28 PA Code, which necessitate that facilities post accurate and current nurse staffing data daily. This includes details such as the facility name, current date, total number, and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides per shift, along with the resident census. The failure to update this information daily could potentially lead to minimal harm to residents, as it does not comply with the transparency and accessibility standards set for nurse staffing data.
Plan Of Correction
1) The form was behind the dated 4/1/2025; it was removed, and the correct one was placed immediately in the front of the folder. 2) The scheduler updates the form, and the night shift supervisor will be responsible for ensuring the correct one is in place. The Supervisors will be educated on the importance of ensuring the nursing staff staffing is accurate and has the correct date. 3) The NHA and/or designee will monitor to ensure compliance. The sheets for the weekends and holidays are in the folder, and the supervisor will be responsible to ensure the correct one is posted. 4) Random audits will continue to ensure compliance. Results of the audits will be reviewed at the QAPI meeting for suggestions and input to maintain compliance.