Failure to Post Required Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was properly posted as required. On the day reviewed, there was no posted nurse staffing information in the building, including in the lobby, nurse's stations, or hallways. Although a binder containing staff schedules was present in the front lobby, it did not include the required details such as the total number and actual hours worked by registered nurses, licensed practical/vocational nurses, and certified nurse aides for each shift, nor did it include the facility name, current date, or resident census. Multiple locations were checked, and the required posting was not found. Interviews with facility staff revealed a lack of understanding and awareness regarding the nurse staffing posting requirements. The DON believed the schedule binder met the requirement and was unaware of the specific posting obligations or how to generate the necessary report from the electronic system. The RNC was aware of the requirement but did not realize the facility was not in compliance, and confirmed that the schedule binder did not meet the requirement. The facility's policy stated that nurse staffing information should be posted daily in a clear and accessible format, but this was not followed.