Failure to Timely Post Accurate Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the 24-hour Nursing Home Resident Care Staffing Report (NHRCSR) was accurately posted and up to date for residents and visitors to view. On two separate observations, the posted NHRCSR was found to be outdated, displaying information from the previous day’s day shift rather than the current date. The surveyor observed this deficiency both in the morning and afternoon, confirming that the required staffing information was not current. Interviews with facility staff revealed that the Unit Clerk/Certified Nursing Aide, who was covering for the Receptionist, was unsure if she was authorized to update the NHRCSR, as this was typically the Receptionist’s responsibility. The Director of Nursing later confirmed that the NHRCSR should be updated by whoever is covering the Receptionist’s duties. A review of the facility’s policy indicated that nurse staffing data must be posted daily, including details on licensed and unlicensed staff and resident census, but this procedure was not followed as required.