Failure to Post and Complete Nurse Staffing Information as Required
Penalty
Summary
The facility failed to ensure that nurse staffing information was completed and posted in accordance with its policy and procedures for three consecutive recertification days. Observations and interviews revealed that staffing information was not posted in the skilled nursing stations 1, 2, and 3, and was only available in the sub-acute station and on a side wall near the front office, which was not a prominent or easily accessible location. Additionally, the daily shift nurse staffing information for the 3-11 pm shifts did not indicate the number of licensed and unlicensed nursing staff directly responsible for resident care in both the skilled nursing and sub-acute stations. Interviews with the Director of Staff Development and the Director of Nursing confirmed that the posted staffing information was not visible or accessible to residents, visitors, or staff, and that it should have been filled out and posted within two hours of the beginning of each shift in a prominent location. Review of the facility's policy indicated that the number of licensed and unlicensed nursing personnel responsible for resident care must be posted in a clear and readable format in a location accessible to residents and visitors. These actions and omissions resulted in the facility not meeting its own requirements for posting accurate and accessible nurse staffing information.