Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily report of nursing staff directly responsible for resident care was accurately posted in a visible and accessible location. During an observation, several daily staffing postings were found in a plastic slot near the front desk, but the most recent visible posting was dated several days prior, with others even older. Multiple staff members were observed passing by the postings without updating them. Interviews with the Maintenance Director, Medical Records manager, and the scheduler revealed confusion and lack of clarity regarding who was responsible for updating the daily staffing postings, with no specific staff member identified as accountable when the scheduler was absent. The facility's policy required that the number of licensed nurses and unlicensed nursing personnel responsible for direct resident care be posted daily, within two hours of each shift's start, in a prominent and accessible location. However, the observed postings were outdated, and staff interviews indicated inconsistent practices and unclear delegation of responsibility for maintaining the postings. This failure had the potential to affect all 74 residents in the facility.