Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the posted daily nurse staffing sheets included all required and accurate information, such as the daily licensed and unlicensed staff hours and the daily census. Observations on multiple consecutive days revealed that only the first shift staffing information was filled out on the posted sheets, with the second and third shift information missing, as well as the actual hours worked. Review of staffing sheets from several dates showed that they consistently lacked the total number and actual hours worked by staff, as well as the daily census, as required by regulations. Interviews with administrative and nursing staff confirmed that the process for completing the staffing sheets involved multiple individuals, including charge nurses and administrative staff, but the required information was not being fully documented or posted. The facility was unable to provide a policy related to sufficient staffing, and the posted sheets did not meet regulatory requirements for transparency and accuracy in nurse staffing information.