Incomplete Nurse Staffing Postings
Penalty
Summary
The facility failed to ensure that the daily nurse staffing postings were fully compliant with regulatory requirements. On multiple consecutive days, the postings displayed in the main lobby included the date (month and day) and the total hours worked for RNs, LPNs, and CNAs for both day and night shifts. However, the postings did not include the current year or the specific shift times. During an interview, the Director of Nursing stated that the Scheduler was responsible for preparing the daily staffing postings and may have been using an outdated form.
Plan Of Correction
F732 – Posted Nurse Staffing Information Element #1: On 5/09/2025, the Staffing Coordinator updated the posted nurse staffing forms to include the full date, including the year, and added the actual hours worked per category (RN, LPN, CNA) for both shifts. Element #2: An audit of staffing postings for the prior 30 days was conducted by Human Resources to ensure historical compliance and address any discrepancies. Element #3: The Administrator reviewed the policy for Nurse Staffing Posting Information and revised as necessary. Community staff were provided education regarding posted nursing staffing data and the requirements. Element #4: The Scheduler and/or designee will audit staffing postings daily, Monday through Friday, for 12 weeks to verify they are accurate, complete, and posted timely. Results of the audits will be brought to the QAPI Committee monthly for review. Any changes to the auditing process will be determined by the QAPI Committee. The Administrator is responsible to attain and maintain compliance. Compliance Date: 6/20/2025