Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the current daily nurse staffing information in a clear and readable format and in a prominent place readily accessible to residents and visitors, as required by its own policy. Multiple observations over several days confirmed that the Nurse Staffing Sheet was not displayed in the entry hall, at the nurses' station, or by the time clock. Staff interviews revealed that several employees, including CNAs, RNs, and LPNs, were unaware of the location of the Nurse Staffing Sheet or reported that it had not been posted for several months. The former DON, who was responsible for posting the sheet, admitted to not having posted it for at least four months. Further interviews with other staff, including the Business Office Manager and the Administrator, confirmed that the Nurse Staffing Sheet had not been completed or posted for an extended period, and no copies were available for review. The facility's policy required daily posting of the staffing sheet, including up-to-date information on licensed and unlicensed nursing staff, but this was not followed, resulting in a lack of accessible staffing information for residents and visitors.