Failure to Accurately Post and Update Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nursing hours were accurately posted and updated daily for 30 out of 31 days reviewed. Record review showed that the Daily Nursing Staffing Report postings were not provided for review prior to being edited, and the reports that were provided showed changes to key columns such as Hours Scheduled, Staffing Total, and Actual Hours Worked for every day except one. Interviews revealed that the staffing coordinator, who had only recently taken on the role, was not updating the staffing numbers for each shift on the posted reports and was unaware that updates were required throughout the day. The coordinator admitted to only posting scheduled numbers and not reflecting actual changes as they occurred. Further interviews with the DON confirmed that the staffing coordinator did not have a process in place to update the postings with shift changes and was unaware of the requirement to do so. The coordinator also stated that she would review and correct the postings the day after they were taken down, rather than updating them in real time. As a result, the posted staffing information did not accurately reflect current staffing levels and census information throughout the day, as required.