Failure to Post and Maintain Required Nurse Staffing Information
Penalty
Summary
Facility staff failed to post the required daily nurse staffing information, including the facility name, current date, resident census, total number of staff, and actual hours worked by both licensed and unlicensed nursing staff per shift. Observations on multiple occasions confirmed that the nurse staffing information was not posted in a clear and readable format in a prominent place accessible to residents and visitors. Record review revealed that the facility did not maintain daily nurse staffing records for several months, specifically for May, June, and the first half of July. The facility's policy requires this information to be posted daily and retained for at least 18 months. Interviews with the interim DON, staffing coordinator, and administrator revealed a lack of awareness and understanding of the responsibility to post and maintain the required nurse staffing information. The staffing coordinator was not aware it was their responsibility, and the interim DON and administrator were unsure why the records had not been maintained since the new company took over. The facility census at the time was 46.1, and there was no indication that any residents were directly affected or harmed as a result of this deficiency.