Failure to Post Actual Hours Worked on Daily Staffing Sheets
Penalty
Fine: $38,23020 days payment denial
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 post daily staffing sheets that included the actual number of hours worked by Registered Nurses (RN), Licensed Practical Nurses (LPN), and Certified Nursing Assistants (CNA) for a period of 31 consecutive days. Review of the posted daily staffing sheets from 7/12/2025 to 8/11/2025 showed that the required information was missing. Multiple observations in the facility's front entrance lobby on different dates confirmed that the posted sheets did not include the actual hours worked by each discipline. During an interview, the Director of Nursing (DON) acknowledged that the posted daily staffing sheets should have included this information, but the deficiency persisted throughout the observed period.