Failure to Provide 8-Hour Consecutive RN Coverage Daily
Penalty
Summary
The facility failed to provide the required services of a Registered Nurse (RN) for at least 8 consecutive hours per day, 7 days a week, as mandated by regulation and the facility's own staffing policy. Review of the nursing schedules for August and September 2025 revealed that on several dates, including 8/9/25, 8/23/25, 8/24/25, 9/6/25, and 9/7/25, there was not an RN present for the required 8 consecutive hours. On these dates, the only RN coverage was provided by one RN who worked only 4 hours each day, and no other RNs were present to fulfill the remaining hours. This was confirmed by both the Administrator and the Director of Nursing during interviews, who acknowledged the lack of continuous RN coverage, particularly on weekends. The facility's resident matrix indicated that 32 residents were living in the facility at the time of the deficiency. The Director of Nursing stated that the facility was aware of the shortfall and attributed it to ongoing efforts to recruit additional RNs. The facility's policy, dated 2001, specifically requires that an RN provide services for at least eight consecutive hours every 24 hours, seven days a week, which was not met on the identified dates.