Failure to Designate a Director of Nursing
Penalty
Fine: $34,450
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 have a registered nurse designated as the director of nursing (DON), as required. Observations on May 12, 2025, showed that the posted nurse staffing did not list a DON, and the facility's employee and key staff lists also lacked a registered nurse in this role. Review of time cards confirmed that the previous DON, an RN, ended employment on April 1, 2025, and no replacement had been designated since then. The corporate nurse consultant confirmed that the facility had not assigned anyone to the DON position following the previous DON's departure. At the time of the survey, 49 residents were residing in the facility.