Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide Registered Nurse (RN) coverage for at least eight consecutive hours a day, seven days a week, as required. Review of the nursing schedules for April through September 2024 revealed that on six specific dates, there was no verifiable or auditable evidence of RN coverage for the required duration. Administrative staff were unable to provide payroll documentation to confirm RN presence on those days. Interviews with administrative staff indicated that ensuring RN coverage, particularly on weekends, was a persistent challenge. The facility's own policy required sufficient nursing staff, including RN coverage for at least eight consecutive hours every 24 hours, but this standard was not met on the identified dates for a census of 44 residents.