Failure to Post Required Daily Nurse Staffing Hours
Penalty
Summary
The facility failed to ensure that daily staffing postings accurately documented the total number of hours worked by Certified Nursing Assistants (CNAs), Registered Nurses (RNs), and Licensed Practical Nurses (LPNs) for each 24-hour period. Review of daily staffing sheets posted from 3/25/25 to 4/25/25 revealed that none included the required total hours for each category of nursing staff. Instead, the postings only listed the names of employees scheduled to work each day, without specifying the breakdown of hours for RNs, LPNs, or CNAs. Interviews with facility staff confirmed that the posted staffing sheets, generated from the facility's scheduling system, did not provide the necessary hour totals for each nursing role. The Administrator In Training and the Human Resources/Scheduler both acknowledged that the current practice was to post only the list of staff on duty, and that this method had been in place prior to the current administrator's tenure. At the time of the survey, the facility had 75 residents, all of whom could be affected by the lack of proper staffing documentation.