Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the daily nurse staffing report as required. On multiple occasions, surveyors did not observe the staffing report posted at the front reception desk, time clock, elevator, or nursing units. Specifically, on several consecutive days, the required staffing information was not visible in any of the designated locations. The staffing coordinator (SC) confirmed during an interview that she was responsible for posting the report but had been absent for two weeks, and no one posted the staffing information in her absence. Upon her return, she resumed posting the reports, but there were still delays in posting until after the morning meeting to ensure accuracy. The receptionist, who was given the report to post, did not consistently do so. Further interviews with the Director of Nursing (DON) revealed uncertainty regarding who was responsible for posting the staffing report when the SC was away, suggesting a lack of clear delegation or backup process. The facility's policy states that staffing will be posted in a visible location, but this was not consistently followed, resulting in the deficiency. No specific residents or patient conditions were mentioned in relation to this deficiency.