Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to accurately post daily nurse staffing information for five out of eight reviewed dates. Observations revealed that on one occasion, the posted staffing form was outdated by two days, and the receptionist was unaware of who was responsible for updating it. Review of posted forms and corresponding schedules showed discrepancies, such as listing more LPNs and NAs than were actually scheduled or present, and omitting an RN who had worked a shift. In several instances, the number of staff listed on the posted forms did not match the actual staffing records, including both overstatements and omissions. Interviews with the scheduler and the Director of Nursing (DON) indicated confusion and lack of clarity regarding responsibility for updating the staffing forms, especially on weekends. The scheduler acknowledged making corrections during the week but was unsure why the receptionist had not updated the form on a weekend. The DON admitted that some errors may have been her responsibility and confirmed that the forms should be updated with any staffing changes. No specific residents or patient conditions were mentioned in relation to the deficiency.