Failure to Accurately Post Daily Nurse Staffing Hours
Penalty
No penalty information released
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 ensure that the posted daily nurse staffing sheets included accurate and identifiable information, specifically the actual hours worked by licensed and unlicensed staff. Observations on multiple dates revealed that the posted staffing sheets did not list the actual number of hours worked, and this issue was found on several days throughout the month. During an interview, an administrative staff member stated that if the actual hours worked matched the total number of hours scheduled, she did not rewrite it on the daily staffing sheet. The facility's policy required accurate and timely posting of staffing information, as well as submission of staffing data through the CMS Payroll-Based Journal (PBJ) system.