Failure to Maintain and Retain Nurse Staffing Data
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 maintain and retain daily posted nurse staffing data for the required 18-month period. During a review of staffing sheets covering a specific timeframe, the facility was unable to provide the requested documentation. Interviews with administrative staff revealed that the management team had assigned responsibility for posting and retaining daily nursing hours, with the DON ultimately accountable for compliance with the regulation. The facility's policy required that nurse staffing information be readily available and maintained in the Human Resources Department for at least 18 months or as required by state law. However, the required documentation was not available for review as mandated.