Failure to Post Complete and Accessible Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted with all required details and in a location that was readily accessible to residents and visitors. Specifically, the posted staffing documents did not separate or specify the total number and actual hours worked by Registered Nurses (RNs), Licensed Vocational/Practical Nurses (LVNs/LPNs), and Certified Nursing Assistants (CNAs). Instead, the information was combined into a single 'Total Hands on PPD' figure, omitting the breakdown required by regulations. Interviews with the Director of Staff Development (DSD), Director of Nursing (DON), and Administrator confirmed that they could not locate or provide the separated staffing data on the posted documents for multiple reviewed dates. Additionally, the daily nurse staffing information was posted behind the nursing station, an area marked as restricted to staff only, making it inaccessible to residents and visitors without staff assistance. The DSD, DON, and Administrator all acknowledged that the information was not easily accessible and that there was no facility policy or procedure in place for posting daily nurse staffing information as required. This failure affected all 60 residents in the facility, as neither they nor their visitors could independently view the required nurse staffing information.