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F0732
E

Failure to Accurately Post Daily Nurse Staffing Information

Portland, Oregon Survey Completed on 04-28-2025

Penalty

Fine: $149,783
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to post accurate and complete nurse staffing information for 14 out of 34 days reviewed. Review of the Direct Care Staff Daily Report (DCSDR) revealed incorrect information on multiple dates, including the entry of a 'Sitter' with hours worked as part of the staff count, and the absence of entries for Nursing Assistants on certain shifts. On one occasion, a staff member was observed wearing a CNA badge but confirmed he was not a CNA, and was not listed correctly on the DCSDR. Payroll/Human Resources staff acknowledged that the Sitter was a CNA assigned to one-on-one duties and should have been included in the CNA count, but the DCSDR did not accurately reflect this information. Further interviews confirmed that the same staff member worked with residents on several dates and should have been counted as a Nursing Assistant, but was not. The Administrator was unaware of the incorrect information on the DCSDR. These inaccuracies resulted in incomplete and inaccurate staffing information being posted for residents and the public.

See complete original report
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