Failure to Post Actual Nurse Staffing Hours on Daily Reports
Penalty
Summary
The facility failed to ensure that the required daily posting of nurse staffing information included the actual hours worked for each staff category. Observations on multiple dates revealed that the Report of Nursing Staff Directly Responsible for Resident Care was posted in a common area, and while the reports listed the number of RNs, LPNs, and nurse aides assigned to each shift, they did not include the actual hours worked by each staff category as required by facility policy. The posted reports only indicated the number of staff per shift and the resident census, omitting the specific work hours for each staff type. Record review of the facility's policy confirmed that the daily posting should include the actual time worked during each shift for every category and type of nursing staff. During an interview, the Director of Nursing acknowledged that the posted reports did not contain the required information regarding actual hours worked. No information was provided about any residents' medical history or condition in relation to this deficiency.