Failure to Post Accurate Nurse Staffing Information
Penalty
Summary
Surveyors observed that the facility failed to post current and accurate nurse staffing information at the beginning of each shift, as required by federal regulations. On August 12, 2025, at 11:00 a.m., the posted nurse staffing information in the main lobby displayed an incorrect date and resident census. Additionally, the staffing hours listed did not accurately reflect the actual total number of hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift. During an interview later that day, the Administrator confirmed that the posted nurse staffing information was not accurate for both staffing hours and resident census for that date. No information about specific residents or their medical conditions was provided in the report. The deficiency was based solely on the inaccurate and outdated information posted and confirmed by facility leadership.
Plan Of Correction
1. & 2. The current and accurate nurse staffing information was posted immediately for 8/12/2025. 3. The DON and scheduler were educated on the regulatory requirement for posting current and accurate staffing information, including the facility name, current date, total number and actual hours worked by RNs, LPNs, CNAs, and the census by shift. 4. To ensure continued compliance, the NHA/designee will complete daily audits X 4 weeks, weekly audits X 2 weeks, and monthly audits X 1 month. 5. Date of compliance is 8/15/2025.