Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily nurse staffing form was accurately completed and posted with actual hours worked after the start of each shift for seven consecutive days. Observations revealed that the posted staffing forms only displayed planned hours and did not include the actual hours worked by staff, as required by the facility's own policy. The policy specified that the posting must include the facility name, current date, resident census, total number and actual hours worked by staff, and reflect staff absences due to callouts and illness for each shift. However, multiple observations on different days confirmed that the actual hours worked were not shown on the posted forms. Interviews with the staffing coordinator, DON, and administrator confirmed that the posted forms were missing a column for actual hours worked and that this information was not being displayed as expected. The staffing coordinator stated that planned hours, callouts, and illness were documented in the schedule book but not on the posted form. Both the DON and administrator acknowledged that the forms should have included the total number and actual hours worked per shift, but this was not being done. No information was provided regarding any specific residents affected or their medical conditions.