Failure to Maintain Accurate Nurse Staffing Data
Penalty
Summary
Facility staff failed to maintain accurate nursing staffing data over an 18-day period, as evidenced by discrepancies between the actual worked nursing schedules and staff statements during a complaint survey. The surveyor found that the schedules provided by the DON did not match the investigation findings regarding which staff worked on specific days. Upon further review, time punches were requested to verify the accuracy of the schedules, revealing inconsistencies such as staff being listed as worked when they had not, and others who had worked not being included on the schedule. The Human Resources Director confirmed that the schedules given to the surveyor were not correct, attributing the issue to a lack of updates in the On-Shift scheduling system due to changes in schedulers. The schedules provided were outdated and did not reflect the actual staff assignments, and even the posted schedules were inaccurate. This failure to accurately document and post daily nurse staffing information was communicated to the DON, highlighting the facility's inability to keep an accurate account of staff presence and assignments for each day and shift during the reviewed period.