Failure to Post Nurse Staffing Information on East Wing
Penalty
Summary
The facility failed to ensure that nurse staffing information was posted in a manner that was beneficial to residents and the public on the East Wing of the facility. According to the facility's policy, staffing information, including the facility name, current date, total number, and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides, as well as the resident census, should be posted daily at the beginning of each shift in a clear and readable format. This information should be placed in a prominent location that is readily accessible to residents and visitors. However, during observations at 10:12 AM and 5:45 PM, the staffing board on the East Wing was found to be unchanged, displaying only two nursing staff names and three Certified Nursing Assistant staff names for the 7 AM to 3 PM shift, with no room numbers or shift data posted. The facility's policy also requires that the posted nurse staffing data be maintained for a minimum of 18 months or as required by state law, whichever is greater. Additionally, the facility must make nurse staffing data available to the public upon request. The failure to update the staffing board as required by the facility's policy and state regulations indicates non-compliance with the staffing standards, which are intended to ensure transparency and accessibility of staffing information for the benefit of residents and the public.
Plan Of Correction
Preparation and submission of this Plan of Correction does not constitute an admission of agreement by the provider of the accuracy of the conclusions set forth in the statement of deficiencies. The Plan of Correction is prepared and submitted to comply with the requirements set forth under state and federal laws and agencies. 1. Re-education provided to East wing nurse from 7am-3pm and East wing nurse from 3pm-11pm by NHA on the requirement to post nurse staffing information in a way to benefit the residents and public. 2. No other areas or residents were affected by deficient practice. 3. Reeducation was provided to nursing staff by DON or designee on requirement for posting up-to-date staffing information daily. 4. The Director of Nursing 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.