Failure to Consistently Post Accurate Daily Nurse Staffing Information
Penalty
Summary
The facility failed to consistently post required nurse staffing information on a daily basis as mandated. On the day of observation, the staff posting displayed was outdated, showing information from two days prior and an incorrect resident census. The current day's posting was found behind previous days' postings and also contained an incorrect census. The DON confirmed these discrepancies and explained that the process was to update the nurse staff posting daily, with the scheduler responsible for creating the postings and the charge nurse responsible for updating them with census or staffing changes. Interviews revealed that the scheduler typically prepares postings for upcoming days in advance, especially before weekends, and places them behind the current posting. Updates to the census or staffing changes occurring on weekends are expected to be made by the charge nurse. However, the process did not ensure that the most current and accurate information was consistently displayed, as required by facility policy. The policy specifies that daily postings must include the facility name, current date, resident census at the beginning of the shift, shift schedule, type and category of nursing staff, actual time worked, and totals for licensed and non-licensed staff.