Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily nurse staffing information was posted as required by its own policy and federal regulations. The policy specified that nurse staffing information, including facility name, current date, resident census, and the total number and actual hours worked by RNs, LPNs, and nurse aides per shift, must be posted daily in a prominent and accessible location for residents, staff, and visitors. Multiple observations conducted over several days revealed that the daily nurse staffing posting was not present anywhere in the facility, including at entry doors, nurse's stations, administrative offices, dining room, and other common areas. Interviews with facility leadership, including the Facility Administrator and Regional Director of Operations, confirmed that the daily nurse staffing information was not posted as required. Although there were designated frames for the postings at nurse's stations, these remained empty throughout the survey period. The failure to post the required information had the potential to affect all 58 residents residing in the facility, as the information was not made available at any time during the recertification survey.