Inaccurate Daily Nurse Staffing Information Posted
Penalty
Summary
The facility failed to accurately report daily nurse staffing information as required, as evidenced by discrepancies between the posted nurse staffing sheets and the actual nursing schedules for five reviewed dates. On each of these dates, the numbers and types of staff (RNs, LPNs, and NAs) listed on the posted sheets did not match the facility's internal schedules. For example, on one date, the posted sheet indicated more RNs and fewer NAs than were actually scheduled, while on another, the posted sheet showed fewer staff than were present according to the schedule. These inconsistencies were found across all reviewed shifts and dates. Interviews with the Scheduler revealed that she was responsible for updating and correcting the posted nurse staffing sheets, typically making adjustments during regular business hours and sometimes returning on weekends or the following Monday to finalize corrections. The Scheduler also reported uncertainty about whether nursing staff had been trained to update the posted sheets in her absence. The Administrator confirmed the expectation that posted nurse staffing sheets should accurately reflect actual staffing. No information about residents' medical history or conditions was included in the report.