Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for a minimum of eight consecutive hours each day, seven days a week, as required by regulation. A review of the 30-day staffing pattern revealed that there was no RN on duty for at least eight hours on several specific dates. Interviews with staff, including an LPN, Resident Care Manager, Staffing Coordinator, Director of Nursing, and Administrator, confirmed that there were days without RN coverage. Staff reported that LPNs managed care during these times and contacted the Director of Nursing as needed, but acknowledged the absence of an RN on duty as required. The staffing coordinator noted difficulties in obtaining RN coverage and stated that the Director of Nursing was notified when coverage could not be arranged.