Failure to Display Nurse Staffing Information
Penalty
Summary
The facility failed to meet the requirement of prominently displaying nurse staffing information on one of the five days surveyed. On April 14, 2025, during an observation at 11:05 a.m., the Nursing Home Administrator (NHA) was unable to locate the current nurse staffing information at the facility's receptionist desk. This indicates a lapse in the facility's compliance with the regulation that mandates the posting of nurse staffing data in a clear and readable format in a prominent place accessible to residents and visitors. During an interview conducted on the same day at 11:30 a.m., the NHA confirmed the facility's failure to display the required nurse staffing information for that day. This deficiency was noted under the regulatory requirements of 28 Pa Code 211.12 (d)(1)(3)(4) Nursing services, which emphasize the importance of maintaining transparency and accessibility of staffing information to ensure adequate nursing services are provided to residents.
Plan Of Correction
The administrator educated the Staffing Coordinator, who will be responsible for preparing and updating daily nurse staffing information using a standardized Excel sheet. This sheet will be printed and placed at the receptionist desk in a clearly marked and visible location each morning. The Staffing Coordinator will receive training on this new process, and a backup designee will be assigned to ensure coverage on weekends or in the coordinator's absence. The Nursing Home Administrator will conduct random weekly checks for four weeks to ensure staffing information is consistently posted and visible. Results will be reviewed with the Quality Assurance Committee.