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F0732
C

Inaccurate Daily Nurse Staffing Postings

Bloomer, Wisconsin Survey Completed on 04-10-2025

Penalty

No penalty information released
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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 ensure that daily nurse staffing information posted was accurate, as required. Surveyors reviewed staffing schedules and the corresponding daily staff postings over a one-month period and found numerous discrepancies between the two sources. These discrepancies included mismatches in the number and type of staff (such as RNs, LPNs, Medication Technicians, and CNAs) listed on the posted information compared to the actual staff scheduled and present according to timecard punches. Specific examples included shifts where the staff posting indicated no Medication Technician present while the schedule showed one, or where the posting listed a Registered Nurse on duty but the schedule showed none. There were also instances where the number of CNAs posted did not match the number scheduled, and total hours worked as posted did not align with actual hours from the schedules. These inconsistencies were found across all shifts and on multiple days, affecting the accuracy of the information available to residents and their representatives. During an interview, the Director of Nursing acknowledged the discrepancies and confirmed that the posted staffing information was generated from a computer software program, while the actual schedules were based on timecard punches. The DON stated that the issue had been noticed months prior but was believed to have been corrected, indicating ongoing problems with the accuracy of posted staffing information.

See complete original report
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