Failure to Accurately Post Daily Nurse Staffing Hours
Penalty
Summary
The facility failed to post accurate daily nurse staffing information as required. On the date of observation, the nurse staff posting form was found at the front desk and included the daily resident census, total number of nursing staff hours, and breakdowns by unit and shift for various nursing roles. However, the posting did not specify the actual hours worked by each category of nursing staff. Instead, it only indicated the number of staff in each role and the total hours for those roles, without detailing the actual hours worked by individual staff members. During an interview, the DON confirmed that the actual hours worked were only reflected in staff schedules posted at the nursing stations, not in the daily nurse staff posting accessible to residents and visitors. The facility's own policy required the posting to include the total number and actual hours worked by RNs, LPNs, and CNAs per shift, in accordance with federal law. This deficiency had the potential to affect all 71 residents and their visitors who may wish to review the staffing information.