Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that required nurse staffing information was accurately posted each day, as observed and documented over a three-day review period. On each day, the posted staffing information was either outdated, missing required elements such as the facility name and current census, or contained inaccurate information. Specifically, trained medication aides (TMAs) were incorrectly listed under sections designated for LPNs, and postings were made for two days at a time rather than daily. These postings were located inside the facility entrance but did not meet regulatory requirements for content and accuracy. Interviews with the business office manager and the director of nursing confirmed these deficiencies. The business office manager acknowledged posting two days at a time, omitting the facility name and census, and misclassifying TMAs under LPN sections. The director of nursing also confirmed that TMAs should not be listed under LPN sections and that the postings lacked required information. The facility's own policy required daily posting of accurate staffing data, including the facility name, current date, and actual hours worked by each category of nursing staff, which was not followed during the review period.