Incomplete Daily Nurse Staffing Information Posting
Penalty
Summary
The facility failed to ensure that all required data were included on the daily nurse staffing information postings. Record review of the PBJ Staffing report and staff schedule documentation revealed that, on multiple dates from October 2024 through May 2025, the postings were missing one or more of the following required elements: facility name, current date, facility census, total number and actual hours worked by licensed staff, and total number of licensed staff with their designation or title. This omission was identified through review of posted schedules and confirmed by both the administrator and the health unit coordinator (HUC), who acknowledged that the postings were incomplete on the specified dates. Additionally, the facility's PBJ Staffing report indicated concerns such as a one-star staffing rating, excessively low weekend staffing, and no RN hours. During interviews, the administrator and HUC explained that the HUC prepared the staff posting and night nurses were responsible for updating and posting it in the morning. They confirmed their understanding of the posting requirements but acknowledged the deficiencies in the posted information. No staff posting policy was provided when requested.