Inadequate Administrative Oversight and Delegation of Duties
Penalty
Summary
The facility failed to ensure effective and efficient use of its resources due to inadequate administrative oversight and inconsistent presence of the administrator. Administrator A, who was the administrator of record, was only present in the building weekly, and when unavailable, administrator B, who was also a full-time administrator at another facility, would be present once a week. Department managers such as the DON, business manager, and dietary manager were expected to be in the building full-time, but significant administrative duties were delegated to the DON and business manager. The DON reported struggling to fulfill her nursing responsibilities while also covering administrative tasks, and noted that administrator A's response to issues was not always timely. The business manager was unavailable during the survey for interview. Interviews with staff revealed that the day-to-day operations and quality management of the facility were largely handled by the DON and business manager, with administrators only intervening when issues arose that could not be addressed by these managers. The administrator job description required direct oversight and accountability for the facility's operations, but this was not consistently met. The lack of regular, on-site administrative supervision led to management issues being delegated to department heads, impacting their ability to perform their primary roles and potentially affecting the overall well-being of the 26 residents in the facility.