Inaccurate EHR Documentation Due to Shared Log-in Credentials
Penalty
Summary
The facility failed to maintain accurate medical records for a resident when a CNA documented care in the electronic health record (EHR) using another CNA's log-in credentials. Specifically, on 06/06/25, CNA A provided care to a resident with severe cognitive impairment and total dependence for activities of daily living, but documented the care under CNA B's credentials. CNA B confirmed she had not worked with the resident that day and had been assigned to another unit. CNA A admitted to using CNA B's log-in because her own credentials frequently malfunctioned, and she had reported the issue without resolution. CNA B stated she may not have signed out of the computer, allowing CNA A to chart under her name. Multiple staff interviews, including CNAs, RNs, the ADON, DON, and the Administrator, confirmed that it was not permitted to use or share log-in credentials for documentation purposes. The DON stated that log-in issues could be resolved quickly and that documenting under another person's credentials constituted false documentation. The Administrator acknowledged there was no specific policy addressing the use of other staff members' log-ins, but considered it common sense not to do so.