Failure to Provide Required 8-Hour RN Coverage
Penalty
Summary
The facility failed to provide the required 8-hour consecutive registered nurse (RN) coverage per day for one of the two months reviewed, specifically in June 2025. Review of the nursing schedules for May and June 2025 revealed that on several days, the facility either had no RN coverage or had RN coverage for less than the required 8 consecutive hours. Specifically, on 6/5/25, only 6.5 hours of RN coverage was provided; on 6/6/25 and 6/7/25, only 5 hours each day; and on 6/8/25 and 6/13/25, there was no RN coverage at all. The Regional Director of Clinical Operations confirmed awareness of these gaps, and it was noted that the DON was a working DON who also covered other areas as needed. This deficiency had the potential to affect all 66 residents residing in the facility at the time.