Failure to Maintain 8-Hour Consecutive RN Coverage
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for 8 consecutive hours each day, as required. Review of the nursing schedule for the period of 4/3/25 through 4/10/25 showed that on multiple days, the only RN scheduled worked less than 8 consecutive hours. Specifically, on 4/4/25, 4/5/25, and 4/7/25, the RN's time clock entries indicated shifts significantly shorter than 8 hours. The Director of Nursing (DON) stated that on some days, the DON or Assistant Director of Nursing (ADON) covered the remaining hours, but there was no time clock or other documentation available to confirm that the 8-hour RN coverage requirement was met on those days. At the time of the survey exit, the facility could not provide evidence that the consecutive 8-hour RN coverage was maintained.