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F0727
F

Failure to Provide Required RN Coverage

Greenbrae, California Survey Completed on 09-11-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a Registered Nurse (RN) on duty for eight consecutive hours a day, seven days a week, from January 2025 to August 2025 for all residents. Review of the Payroll Based Journal (PBJ) Staffing Data Report for Quarter 2 of 2025 revealed that there were no RN hours recorded on several Sundays, specifically 1/5/2025, 2/2/2025, 2/16/2025, 3/2/2025, and 3/30/2025. Additional review of the facility's Skilled Daily Staffing assignment reports for 8/17/2025 and 8/31/2025 also indicated no RN coverage for skilled nursing on those dates. During interviews, the Administrator confirmed the absence of RN coverage on the dates identified in the PBJ report and acknowledged that there were additional dates not listed where no RN was scheduled. The Administrator further stated that the facility was unaware that RN coverage was specifically required for the skilled nursing facility and confirmed that no RN coverage was scheduled for every other Sunday. No specific details about individual residents or their medical conditions at the time of the deficiency were provided in the report.

See complete original report
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