Failure to Post Daily Nurse Staffing Totals per Shift
Penalty
Summary
The facility failed to post the total number of licensed and unlicensed nursing staff directly responsible for resident care per shift on a daily basis, as required by its own policy and procedure. During observations on multiple dates, staffing postings at two nursing stations did not indicate the total number of licensed and non-licensed nursing staff working for all three posted shifts. This omission was confirmed during interviews and record reviews with the Director of Staff and Development (DSD), who acknowledged that the postings did not include the required totals for the specified dates. Further interviews with the DSD consultant and the Director of Nursing (DON) confirmed the importance of posting the total number of licensed and non-licensed staff responsible for resident care per shift. Review of the facility's policy indicated that daily postings should include this information for each shift. The deficiency was limited to the failure to include the total number of staff on the daily postings, as observed and confirmed by facility leadership.