Incomplete and Missing Daily Nurse Staffing Sheets
Penalty
Summary
The facility failed to ensure that daily posted nurse staffing sheets were completed accurately and consistently for 6 out of 61 days reviewed. Specifically, on several dates, the staffing sheets were missing required information such as the number of hours worked by nurse aides and nurses, and in one instance, the staffing sheet was missing entirely. Additionally, there was an instance where the recorded RN hours did not reflect the required 8 consecutive hours, and another where the number of RNs on duty was incorrectly documented as hours worked. These deficiencies were identified through record review and staff interviews. The Director of Nursing (DON) acknowledged responsibility for ensuring the accuracy and presence of the daily posted nurse staffing sheets but was unaware of the missing or incomplete entries on the specified dates. The DON also indicated a lack of awareness regarding the requirement for documenting 8 consecutive RN hours. The Administrator confirmed that the DON was responsible for the staffing sheets and was unable to explain the errors found. No information about residents' medical history or condition was provided in relation to this deficiency.