Failure to Document RN Hours on Daily Staffing Sheets
Penalty
No penalty information released
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 registered nurse (RN) hours were identified on the daily staff posting, as required by facility policy. Review of the policy indicated that the daily posting should include a breakdown of RN, LVN/LPN, and CNA hours. However, facility nursing schedules and daily posted staffing sheets for the specified timeframe showed that while RN coverage was provided on weekdays, the daily postings did not document RN hours. Interviews with the Staffing Coordinator confirmed that RN hours were not counted or documented on the daily staffing sheets. Both the Director of Nursing and the Administrator stated their expectation that the daily staffing sheets should be accurate and reflect the staff who worked.