Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post daily nurse staffing information in a location that was easily accessible to residents and visitors. Observations revealed that the required staffing data, including the facility name, daily census, and actual hours worked per shift for RNs, LPNs, and CNAs/CMTs, was not posted in public areas such as the nursing station or lobby. The posted list only included the names of four LPNs, with no RNs or Director of Nursing (DON) listed, and did not display the number of staff scheduled or the hours worked for each shift. At the time of observation, the facility had one LPN and two CNAs on duty for a census of 54 residents, with no RN present in the building. Interviews with staff indicated that the daily staff sheet had not been visibly posted for several weeks or months, and the previous practice of handwriting staffing information on a whiteboard had ceased. The interim DON confirmed the expectation that daily staffing ratios should be posted in public view. When requested, the facility was unable to provide documentation of daily staffing ratios for the previous days or weeks, and the facility's staffing posting policy was not provided upon request.