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F0732
C

Inaccurate Daily Nurse Staffing Postings

Muskego, Wisconsin Survey Completed on 06-16-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that daily nurse staffing postings accurately reflected the actual staffing present in the building. Over a 30-day review period, surveyors identified discrepancies on 14 days between the posted staffing information and the actual staff schedules. These discrepancies included incorrect numbers and types of licensed and unlicensed nursing staff, as well as inaccurate reporting of actual hours worked per shift. The facility's policy required that nurse staffing sheets be updated daily and reflect real-time changes such as callouts and absences, but this was not consistently done. Interviews revealed that the night shift was responsible for posting the new staffing information each day, while nursing staff were expected to update postings as changes occurred. However, the staff member responsible for filing postings and schedules admitted to no longer reviewing the postings for accuracy against the schedules. This lapse resulted in multiple instances where the posted information did not match the actual staffing, potentially affecting all 41 residents in the facility during the review period.

See complete original report
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