Inaccurate Documentation of Daily Nurse Staffing Information
Penalty
Summary
The facility failed to accurately document daily nurse staffing information for all 34 days reviewed. Record reviews showed discrepancies between the posted nurse staffing sheets and the actual staff schedules and assignment sheets. Specifically, the posted staffing information consistently documented that both licensed and unlicensed staff, including Medication Aides (MAs), were scheduled to work two twelve-hour shifts per day. However, the actual hours worked by unlicensed staff were three eight-hour shifts per day. This discrepancy was present across all three shifts (7:00 AM - 3:00 PM, 3:00 PM - 11:00 PM, and 11:00 PM - 7:00 AM) for each day reviewed. Interviews with the Staffing Scheduler, the Clinical President, and the Administrator confirmed that the posted daily staffing information did not reflect the actual hours worked by unlicensed staff. The Staffing Scheduler stated she was trained to document staffing hours as two twelve-hour shifts for all staff, rather than the actual three eight-hour shifts worked by unlicensed staff. The Administrator acknowledged that the way the daily staffing was listed made it appear that the actual unlicensed staff hours were incorrect.