Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours each day, as required by regulation. Review of the Payroll Based Journal (PBJ) report during the entrance conference revealed that on multiple dates within one quarter, there was no documentation of RN coverage for any shift. Specifically, the staffing sheets for eight separate dates lacked evidence of an RN working in the facility. During an interview, the Executive Director confirmed awareness of the lack of RN coverage on the identified dates and acknowledged the expectation to comply with the regulation. The deficiency was based on both the PBJ report and the absence of RN documentation on the facility's staffing sheets for the specified dates.