Failure to Post Actual Nurse Staffing Hours
Penalty
Summary
The facility failed to post the actual hours worked by staff directly responsible for resident care for all 12 shifts reviewed. According to the facility's own policy, nurse staffing information, including actual hours worked by RNs, LPNs/LVNs, and CNAs, must be posted daily in a readable format. However, review of the Nurse Staff Projection documents for several days revealed that the actual hours worked were not indicated for all three shifts each day. This omission was confirmed through document review and staff interviews. Interviews with the Scheduler, Director of Staff Development (DSD), Director of Nursing (DON), and Administrator revealed that the responsibility for posting and updating nurse staffing data was not consistently fulfilled. The Scheduler admitted to sometimes forgetting to print or post the records, and the DSD acknowledged that the data sheets were not updated to reflect actual hours worked on multiple days. Both the DON and Administrator stated their expectations for accurate and updated postings, but the deficiency persisted, affecting all residents in the facility.