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F0732
C

Inaccurate Daily Nurse Staffing Postings

Montrose, Michigan Survey Completed on 04-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that the daily posting of nursing staff information was accurate and updated as required. During a review of the BIPA (Benefits Improvement and Protection Act of 2000) forms, which the facility used for mandatory daily staffing postings, discrepancies were found between the posted information and the actual staffing schedules for several dates. For example, the number of Certified Nursing Assistants (CNAs) and nurses, as well as their total hours worked, did not match between the BIPA forms and the staffing schedules. These errors were present on multiple dates, and the posted information was not reflective of the actual staff present on those days. When questioned, the Nursing Home Administrator (NHA) initially stated that the postings should be correct, but upon further review, both the NHA and the Director of Nursing (DON) acknowledged that the BIPA forms did not accurately reflect the staffing. The DON identified that new staff were not properly coded, resulting in their absence from the posted staffing information. The facility's policy required that staffing information be posted in an accessible area for all staff and residents, but this requirement was not met due to the inaccuracies in the posted data.

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