Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post accurate nurse staffing information reflecting the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care for three consecutive days. Observations and interviews revealed that the required staffing information for the night and day shifts was not completed and was not posted in visible areas such as the nurses' station. The Case Manager acknowledged that the staff posting was incomplete and stated that actual hours would be posted the following day, rather than as required. Further interviews with the Assistant Director of Nursing confirmed that staffing hours should be posted at the beginning of each shift and should reflect actual hours worked. Record review showed that the posted nurse staffing information was not completed for all three shifts on the specified dates. The facility's policy and procedure require that within two hours of the beginning of each shift, the number of licensed and unlicensed nursing staff and their actual hours worked be posted in a prominent location accessible to residents and visitors.