Failure to Maintain Full-Time Director of Nursing (DON)
Penalty
Summary
The facility failed to have a registered nurse serving as the full-time Director of Nursing (DON), as required by both facility policy and regulatory standards. Record review and staff interviews revealed that the facility did not have an RN acting in the capacity of DON at the time of the survey. The Assistant Director of Nursing (ADON) confirmed during the entrance conference that there was no current DON, and the administrator reported that the previous DON had resigned the previous week, with their last day worked being 04/14/25. The facility's own policy stated that a registered nurse must be designated to serve as the DON on a full-time basis, but this requirement was not met during the period reviewed. At the time, the facility had 44 residents.