Failure to Maintain Required RN Coverage and DON Presence
Penalty
Summary
The facility failed to provide 8 consecutive hours per day of Registered Nurse (RN) coverage for 2 out of 37 days reviewed, and did not have a Director of Nursing (DON) on staff for 33 consecutive days. Review of staffing records showed no RN coverage on two specific days, and interviews with multiple LPNs and the administrator confirmed the absence of both an RN and a DON during the specified periods. The administrator also confirmed that the facility had an average daily census of 60-62 residents and did not have any staffing waivers in place during this time frame. These deficiencies were identified through record review and staff interviews, which verified the lack of required RN coverage and the absence of a DON, potentially affecting all 59 residents according to the facility's census report.