Failure to Post Current Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily Nurse Staffing Information was posted with the current date in two of five observed posting areas. During an entrance tour, surveyors observed that the 'Nursing Staff Posting Form' at both the front desk and the main hallway bulletin board displayed outdated dates, despite the form itself indicating it should be updated daily. Photographic evidence was obtained to document these findings. Interviews with staff revealed that the Staffing Coordinator prepared the next day's staffing form in advance and placed it behind the current day's form, with the expectation that the night nurse would update the posting at midnight. However, on the day of the survey, the previous day's forms remained posted in both observed areas. Both the Administrator and the DON acknowledged that the Nurse Staffing Information Form is required to be posted daily with the current date.
Plan Of Correction
1.) Staff posting was completed by the Staffing Coordinator, the Resident Council President was notified, and no additional recommendations were provided on behalf of the resident council committee. 2.) A full house audit of staff posting areas was completed by the Nursing Home Administrator, and staff posting was updated. A resident council meeting was held; no residents were affected by this. 3.) Staffing coordinator educated by the Nursing Home Administrator/Designee on updating the staff posting throughout the facility each day, and the components of regulation F732/N066. 4.) Nursing Home Administrator/Designee will conduct random audits to ensure staff posting is current, accurate, and visible to the residents twice weekly for four weeks, then weekly for four weeks then monthly for three months to ensure compliance. Findings of audits to be reported through the monthly Quality Assessment, Assurance and Compliance Committee meeting for three months for comments and recommendations.