Failure to Post Actual Nursing Staff Hours on Daily Staffing Forms
Penalty
Summary
The facility failed to ensure that the total hours actually worked by nursing staff were included on the daily nurse staffing posting forms for five specific days during the survey period. Observations on multiple days revealed that the posted forms listed the number of Registered Nurses (RN), Licensed Practical Nurses (LPN), Medication Assistant Certified (MAC), and Certified Nursing Assistants (CNA) scheduled to work each shift, but did not include a section for the total hours actually worked. This omission was consistent across all observed forms for the affected days, and the forms did not reflect staff absences or actual hours worked as required by the facility's own policy. An interview with the Director of Nursing (DON) confirmed that the posted forms were missing the required information regarding actual hours worked for RNs, LPNs, and CNAs. The DON acknowledged that the facility's policy mandates the inclusion of this information and that it is important for knowing how many staff were present during each shift. The deficient practice was observed on five out of eleven days during the survey and had the potential to affect all 61 residents residing in the facility.