Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure the presence of a Registered Nurse (RN) for at least 8 consecutive hours per day, 7 days a week, as required. Record reviews showed that there were multiple days within a six-month period where no RN services were provided at all, specifically on five separate dates. Additionally, there were several other days where RN coverage was present but did not meet the minimum requirement of 8 consecutive hours, with coverage ranging from as little as 2 hours to just under 8 hours on various dates. The facility census during this period was 76 residents daily. Interviews with the Administrator confirmed the lack of RN coverage on certain days, and the Administrator was unable to provide any additional records to demonstrate compliance for the dates in question. The facility's own policy, dated 05/30/2025, required RN services for at least 8 consecutive hours per day, 7 days per week. The Administrator acknowledged the importance of daily RN coverage for resident assessments but could not explain the lapses, noting that some of the incidents occurred before his tenure.