Failure to Maintain and Post Complete Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing postings were completed and readily accessible for all residents, families, and visitors. During the survey, the Nursing Home Administrator was unable to provide complete staffing postings for the past 18 months as required. The binder provided contained forms that were incomplete, missing dates, and lacking necessary staffing information. The staffing coordinator acknowledged that the forms were incomplete, and the facility was unable to provide postings for certain months by the end of the survey. A review of the facility's own policy confirmed that nurse staffing information should be posted daily, including specific details such as facility name, current date, resident census, and the total number and actual hours worked by RNs, LPNs, and CNAs per shift. The policy also required that this information be maintained for at least 18 months. The survey found that these requirements were not met, as postings were missing or incomplete for several dates within the required retention period.