Failure to Maintain Minimum Nursing Staff and Assign Charge Nurse on Each Shift
Penalty
Summary
The facility failed to provide the minimum required staffing hours for 20 out of 37 days reviewed, as evidenced by the Nursing Personnel Staffing Pattern Reporting Forms. On multiple dates, the facility was short by several hours of required nursing staff, including both licensed nurses and CNAs. Interviews with staff confirmed that on these dates, the facility did not meet the required minimum staffing hours, and there were no staffing waivers in place. The average daily census during this period was reported to be 60-62 residents. Additionally, the facility did not ensure that a licensed nurse was designated as a charge nurse for each shift. During interviews, LPNs on duty were unable to identify a charge nurse for their shift, and the administrator was also unable to specify who was in charge. The administrator and HR confirmed that insufficient staffing and the lack of a designated charge nurse were ongoing issues, primarily due to a shortage of CNAs.