Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the required daily nurse staffing information, including the facility name, current date, total number and actual hours worked by registered nurses, licensed practical or vocational nurses, certified nurse aides, and the resident census for four consecutive days. Observations on one of these days revealed that the most recent posted document was dated several days prior and did not include information regarding care provided per shift. Interviews with staff, including the LPN and DON, confirmed that the document was not updated or posted as required, and that the DON and weekend supervisor were responsible for this task. The DON acknowledged the document was outdated and attributed the failure to issues with the facility's printers and a recent change in ownership, which affected staff access to printing resources. A review of the facility's policy indicated that nurse staffing data should be posted daily for each shift within two hours of the beginning of each shift, in a prominent and accessible location. The policy also specified the required information to be included on the posting. Despite these requirements, the facility did not ensure the daily posting of current nurse staffing and census information for the reviewed period, as confirmed by both observation and staff interviews.