Inaccurate Posting of CNA Staffing Information
Penalty
Summary
The facility failed to ensure the accuracy of nurse staffing information posted daily, specifically regarding the number of certified nurse assistants (CNAs) working the 11 PM to 7 AM shift on several dates. The Daily Skilled Nursing Facility (SNF) Staffing Posting indicated that four CNAs worked these shifts, totaling 32 hours, while a review of the Nursing Staffing Assignment and Sign-In Sheets showed that only three CNAs actually worked, totaling 24 hours. This discrepancy was confirmed during interviews with both the Director of Staff Development (DSD) and the Director of Nurses (DON), who acknowledged that the posted information was inaccurate and did not reflect the actual staffing levels for those shifts. The facility's policy required accurate daily posting of nurse staffing data, including the number and type of nursing personnel providing direct care, to be displayed in a prominent location accessible to residents and visitors. The inaccurate postings had the potential to misinform residents and visitors about the actual number of CNAs available to provide care during the affected shifts. The DSD, who was responsible for completing the staff posting, and the DON both recognized that the posted information did not match the actual staffing records for the specified dates.