Failure to Post and Update Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted at the beginning of each shift, as required by both facility policy and federal regulations. Observations revealed that the staffing posting in the lobby was outdated, displaying information from several days prior and an incorrect resident census. Interviews with the Administrative Assistant (AA) confirmed that the posting was not updated daily, particularly on weekends, and that changes in staffing due to absences or callouts were not reflected in the postings. The process relied on the AA receiving emails from schedulers and manually updating the form, but this was not consistently done, especially when the AA was not present. Further review of staff schedules and postings over a two-week period showed no updates were made to reflect staff absences. The Director of Nursing (DON) was unable to provide a clear process for ensuring postings were current and accurate, particularly regarding updates for staffing changes or weekend coverage. As a result, the facility did not maintain accurate and timely nurse staffing information in a location accessible to residents and visitors, potentially affecting all 73 residents in the building.