Failure to Post Actual Nursing Staff Hours as Required
Penalty
Summary
The facility failed to post the actual nursing hours worked by licensed and unlicensed nursing staff directly responsible for resident care for three consecutive sampled days. Observations on multiple days revealed that only projected hours were posted at the nursing station, with incomplete information for each shift. There was no calculation or posting of actual hours worked by unlicensed nursing staff, and no staffing information was posted for the previous day on each occasion. These postings did not meet the requirements for displaying actual staffing data, as only projected hours were visible to residents and visitors. During an interview, the Director of Staff and Development confirmed responsibility for the staffing postings and acknowledged that only projected hours were being posted, not the actual hours worked by staff. A review of the facility's policy and procedures indicated that actual hours worked by both licensed and unlicensed staff must be calculated and posted within two hours of each shift's start. The policy also required that the staffing information be accessible in a prominent location and include the resident census and shift schedule, which was not being followed as observed during the survey.