Failure to Maintain Required RN Staffing Levels
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least eight hours a day, seven days a week, as required. Review of the Payroll Staffing Data Report (PBJ) and the facility's Staffing Log from September to December 2024 revealed multiple days where no RN hours were recorded or the hours worked were less than the required eight hours. Specific dates were identified where either no RN was present or the RN coverage was insufficient, as documented in both the PBJ and staffing logs. During an interview and record review with the Staffing Coordinator, it was confirmed that the facility experienced ongoing difficulties in securing adequate RN staffing. The Staffing Coordinator stated that the facility was not receiving enough applications and that a requirement for previous skilled nursing facility experience further limited the applicant pool. When applications were lacking, the facility attempted to reach out to registries to fill the RN shifts, but gaps in coverage persisted.