Failure to Post Current Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the current date was posted on the Nurse Staffing Information forms in two of five observed posting areas. During an entrance tour, surveyors observed that the 'Nursing Staff Posting Form' at the front desk and in the main hallway near the conference room displayed outdated information, as confirmed by photographic evidence. The forms are required to be updated daily with the current date, but the previous day's forms remained posted in both locations. Interviews with staff revealed that the staffing coordinator would prepare the next day's posting in advance and place it behind the current day's form, with the expectation that the night nurse would switch the postings at midnight. However, this process was not followed, resulting in outdated staffing information being displayed. Both the Administrator and the DON acknowledged that the Nurse Staffing Information Form must be posted daily with the current date, but this requirement was not met at the time of the survey.
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.