Failure to Post Actual Nurse Staffing Hours
Penalty
Summary
The facility failed to comply with federal requirements for posting daily nurse staffing information. On multiple occasions, surveyors observed that the Nurse Staffing Sheets posted in a prominent location did not include the actual hours worked by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), or Certified Nurse Aides (CNAs) for any shift. The columns designated for recording these actual hours were left blank for the reviewed dates. This omission was confirmed during an interview with the Nursing Home Administrator (NHA) and the Director of Nursing (DON), who acknowledged that the actual hours worked were not documented as required. A review of the facility's own policy indicated that the Nurse Staffing Sheet should be updated daily to reflect actual hours worked, including adjustments for staff absences or call-outs, and should include all nursing staff paid by the facility, including contract staff. Despite this policy, the posted sheets did not contain the required information, resulting in noncompliance with federal regulations regarding nurse staffing data transparency.