Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was present onsite for at least eight hours a day, seven days a week, as required by regulation. Specifically, there was no RN coverage on three separate days within the review period. On April 10, 2025, it was observed that no RN was on duty, and the Administrator confirmed that the Director of Nursing (DON), who is the only full-time RN, was absent due to illness. The only other RN on staff was part-time and only scheduled for two days per week, leaving gaps in RN coverage. A review of timecards and interviews with the Administrator confirmed that there was no RN present on March 19, March 27, and April 10, 2025. The facility's own policy requires an RN to be present for eight hours each day to meet resident needs and regulatory requirements. The census at the time was 58 residents, and the absence of RN coverage on these days constituted a failure to comply with both facility policy and regulatory standards.