Failure to Post Daily Resident Census on Nurse Staffing Information
Penalty
Summary
The facility failed to include the daily resident census on the nurse staffing posting, as required. Observations on multiple days showed that the nurse staff posting, displayed across from the nurse's station, included the date, shift hours, and the number of RNs, LPNs, and NAs with their total and actual hours worked, but consistently omitted the daily census. Review of postings from over a month revealed that the census was missing on 37 out of 38 days. Interviews with the health unit coordinator (HUC) and the director of nursing (DON) confirmed that neither had been documenting the census on the posting, as the HUC was not trained to do so and the DON had not enforced this requirement. The census was only recorded on a white board in the nurse's area, which was not visible to residents or visitors. No nurse staff posting policy was provided upon request.