Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the required daily nurse staffing information at the beginning of each shift for two days during the review period in April 2025. Specifically, on April 22 and April 23, the staffing sheets displayed were dated April 21, and the current staffing data, including the total number of hours worked by licensed nurses and certified nurse aides as well as the daily census, was not posted as required. Observations confirmed that the outdated staffing sheets were hung on the employee bulletin board by the time clock in the hallway leading to the smoking area. During interviews, the ADON, who was responsible for daily staffing in the absence of a DON, acknowledged missing the completion and posting of the staffing forms for the two days, citing being busy as the reason. The ADON also indicated a lack of awareness regarding the risks to residents from not posting the staffing information, stating she understood it as a regulatory requirement. The Administrator confirmed that the expectation was for the ADON to complete and post the staffing data daily and recognized that the failure could result in residents and families not being aware of the staffing numbers.