Incomplete and Improperly Posted Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the Daily Staffing Report was both complete and posted in a manner that was visible and accessible to residents, visitors, and staff on multiple consecutive days. On three separate days, the report was observed to be placed behind another facility form, making it not visible. Additionally, on two of those days, the report did not include the actual direct care hours for RNs, LVNs, CNAs, and RNAs for the day shift, as required by facility policy. Interviews with the Director of Staff Development and nursing staff confirmed that the Daily Staffing Report should be visible and complete, including the actual direct care hours for each category of nursing staff. Review of the facility's policy indicated that the report must be posted daily in a prominent place and include the total number and actual hours worked by licensed and unlicensed nursing staff per shift. The failure to post complete and visible staffing information was directly observed and acknowledged by facility staff.