Failure to Post Daily Nurse Staffing and Census Information
Penalty
Summary
The facility failed to post required daily nurse staffing and census information on one of three days reviewed. On the specified date, observations between 2:24 p.m. and 2:47 p.m. confirmed that the information regarding current nurse staffing and census was not publicly posted. The Director of Nursing (DON) was unable to locate the posting and, upon inquiry, was informed by the receptionist that the information had not been posted that day. Interviews revealed that the Certified Nurse Aide (CNA) responsible for staff scheduling did not provide a reason for not posting the schedule and census. The DON stated that the staff scheduler was responsible for printing and posting the daily schedule and census, but on the day in question, the scheduler appeared unaware that this was part of their duties, despite having completed the task during recent relicensing certification observations. Further interviews indicated that the facility did not have a formal policy on posting the daily census and nurse staffing, but staff were aware that regulations required this information to be posted daily. The Administrator (ADMIN) confirmed that the staffing coordinator was responsible for posting the information, with Assistant Directors of Nursing (ADONs) as backups. The ADMIN was not aware of the missed posting until after the fact and attributed the lapse to a transition in staff scheduler responsibilities and incomplete training of the new staff member. No residents or facility guests had requested to view the posting on the day it was missing.