Failure to Post Required Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted in accordance with both state requirements and the facility's own policy and procedure. Observations revealed that the posted nurse staffing document was untitled, did not include the facility's name, and was not printed on the State-specific Nursing Hours Per Patient Day (NHPPD) form. Additionally, the posting did not specify whether the hours listed were projected or actual direct care hours provided. Payroll staff responsible for updating the posting confirmed these omissions and could not recall if the required information had ever been included. Further review with the Director of Nursing (DON) and examination of the facility's policy confirmed that the postings did not meet the stated requirements, which include listing the facility name, actual direct care hours, and use of the State-specific NHPPD form. Observations at all three nursing stations showed that none of the postings were compliant, and there were no alternative postings available to provide the missing information to residents or visitors. The DON acknowledged that the postings were not in accordance with policy and that residents and their families have the right to know the staffing levels.