Inaccurate Daily Nurse Staffing Postings
Penalty
Summary
The facility failed to ensure that daily nurse staffing information postings were accurate, as required. Surveyors reviewed staffing schedules and posted staff information over a two-week period and found multiple discrepancies between the posted information and the actual schedules. For several days, the number and type of staff listed on the postings did not match the staff who actually worked, as indicated by the schedules. For example, postings often included staff such as RNs or Med Techs who were not present according to the schedule, or omitted staff who did work. Additionally, the Director of Nursing (DON) was included in the postings even when not providing direct patient care, contrary to requirements that only direct care staff be listed. During interviews, the staff member responsible for preparing the postings stated that she completed them based on the printed schedule and included the DON's hours regardless of whether direct care was provided. Both the staff member and the Nursing Home Administrator acknowledged that the postings and schedules were not accurate and did not match. These inaccuracies affected the reported total number and hours of licensed and non-licensed staff responsible for resident care on each shift, potentially impacting all 43 residents in the facility.