Failure to Accurately Post Daily Nurse Staffing Hours
Penalty
Summary
The facility failed to ensure that daily nurse staffing postings included all required and accurate information, specifically the total nursing staff hours for each category. According to the facility's policy, the number of licensed and unlicensed nursing personnel, their actual hours worked, and other staffing details must be posted within two hours of each shift's start. However, a review of daily postings over a two-week period revealed that several dates were missing the required documentation of total nursing staff hours. On the day of survey, the posting also lacked this information. Interviews with the scheduler and the nursing home administrator confirmed that the postings were not consistently updated to reflect actual hours worked, especially when changes occurred during the day. The scheduler stated that hours were often completed the next morning and not adjusted in real time, and acknowledged that missing information indicated the task was not done. The administrator confirmed the expectation that actual working hours should be documented daily and adjusted as needed, but observed that this was not occurring. No further information was provided by the facility regarding the missing documentation.