Failure to Post Daily Nurse Staffing Information in Accessible Location
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted in a prominent and accessible location for residents and visitors. On one of the reviewed days, the posted staffing information was outdated by 40 days, with the most recent posting dated over a month prior. Interviews revealed that the Director of Nursing (DON) was responsible for posting the daily staffing information but had neglected to do so, instead keeping the records in a binder in her office. Other staff members, including the Assistant Director of Nursing (ADON) and the staffing coordinator, were identified as having roles in posting or monitoring the information, but there was confusion and lack of clarity regarding who was ultimately responsible for ensuring the posting was completed daily. Staff interviews indicated that while employees could access staffing information from a binder, this method was not accessible to residents or visitors, who would not know to look there. The interim administrator confirmed that there was an expectation for daily posting but was unsure of the monitoring process. The facility's documented policy required daily posting of staffing by shift, but this was not followed, resulting in the deficiency.