Inaccurate Daily Nurse Staffing Postings
Penalty
Summary
The facility failed to ensure that the daily nurse staffing information posted accurately reflected the actual staff hours available to care for the 99 current residents. On multiple occasions, the posted staffing information did not match the actual nursing schedule. For example, on one night shift, the posted document indicated two RNs, three LPNs, and seven CNAs, while the actual schedule showed three RNs, two LPNs, and five CNAs. Similar discrepancies were found on other dates, with the posted numbers of RNs, LPNs, and CNAs not matching the actual staff present according to the nursing schedule. Interviews with facility staff revealed that the night supervisor was responsible for updating the night shift staffing information but did not revise the document to reflect the actual staff on duty. The DON confirmed the discrepancies between the posted staffing and the actual schedule. Additionally, the staff scheduler stated that she updated the day and evening shifts, while the night supervisor handled the night shift. The facility did not have a policy in place for daily nurse staff posting, contributing to the inconsistencies observed.