Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for eight consecutive hours each day, seven days a week, during the period from 4/6/25 to 4/12/25. Review of the staff schedule for 4/5/25 - 4/6/25 showed that all nursing shifts were staffed by Licensed Practical Nurses (LPNs), and the only RN listed had their name crossed out. This indicates that no RN was present on those shifts as required. During an interview, the Director of Nursing (DON) acknowledged that staffing is determined based on census and that there have been instances where staff did not come in as scheduled, often discovered only after the fact. The DON confirmed that the facility is supposed to have an RN on duty and suggested that the RN may have called off, but she was unaware of the specifics as she was out of town at the time. The facility's policy requires daily monitoring and adjustment of staffing to ensure compliance with federal and state requirements, but this was not effectively implemented during the cited period.