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F0727
F

Failure to Designate Full-Time DON

Bayard, Nebraska Survey Completed on 07-30-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to designate a full-time Director of Nursing (DON) from 12/24/2024 through 2/10/2025, as required by state regulations. Record review of the Facility Assessment Tool indicated that staffing should include a full-time DON, but staffing documentation showed no evidence of a designated DON during the specified period. Interviews with the Nursing Home Administrator (NHA) and a Registered Nurse (RN-A) revealed that RN-A was assisting with DON duties but was not officially designated as the DON, and there was no clear assignment of the DON role during this time. The facility had a census of 35 residents, all of whom had the potential to be affected by the lack of a designated DON.

See complete original report
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