Failure to Post Nurse Staffing Information Per Shift
Penalty
Summary
The facility failed to post nurse staffing information at the beginning of each shift as required by its own policy and federal regulations. Observations over several days revealed that the posted nurse staffing data was not updated for each shift, but instead was posted once daily, often reflecting outdated information. For example, on multiple occasions, the posted staffing information was dated for previous days, and staff confirmed that the data was posted in the morning for the entire day rather than prior to each shift. The staffing information was located at the receptionist desk in the lobby, but did not meet the requirement to be updated within two hours of the beginning of each shift. Interviews with facility staff, including the Admissions Assistant, Certified Nursing Assistant, Director of Staff Development, Director of Nursing, and the Administrator, confirmed that the practice was to post staffing data once daily, not per shift. The Director of Staff Development stated that the posting was preprogrammed in the software for a 24-hour period and was unaware of the requirement to update it for each shift. The Director of Nursing and Administrator both acknowledged that the posting should be updated prior to each shift, but this was not the practice observed during the survey. This deficiency had the potential to affect all residents in the facility.