Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post daily nurse staffing information as required, including the number of Registered Nurses, Licensed Practical Nurses, Certified Nurse Aides, the resident census, and the total number of actual hours worked by each staff category. Review of the Daily Staff Posting Sheets over several months revealed that the facility did not adjust the postings to reflect actual staff hours worked versus scheduled hours, including changes due to call-ins, meal breaks, or coverage changes. Administrative staff confirmed that they did not update the postings to account for these adjustments and were unaware that such updates were necessary. Facility policy documentation indicated a requirement to provide adequate staffing and accurate reporting, but the observed practice did not align with these requirements.