Inaccurate Posting of Nurse Staffing Information
Penalty
Summary
The facility failed to accurately post daily nurse staffing information, including the actual hours worked and the total hours worked by category for nursing staff. Record review revealed discrepancies between the posted Nurse Staffing Reports and the facility's time and attendance records for 14 out of 15 calendar days reviewed. For example, on multiple dates, the hours reported on the Nurse Staffing Report did not match the hours recorded in the time and attendance system for RNs, LPNs, and Certified Nurse Aides. Additionally, the facility did not accurately reflect the facility census on the posted reports. An observation of the posted staffing report showed that the number of Certified Nurse Aides scheduled for a specific shift was significantly higher than the number actually present and working during that shift. During a staff interview, the Nursing Home Administrator acknowledged a lack of awareness regarding how the staffing data was compiled and admitted to the inaccuracy of the posted information.