Inaccurate Daily Posting of Resident Census on Staffing Forms
Penalty
Summary
The facility failed to ensure the accuracy of the daily posting of health care staff census information for 15 out of 29 days reviewed. Record review showed that the posted census numbers on the daily staffing forms did not match the detailed census reports for multiple dates. The discrepancies included both over-reporting and under-reporting of the actual resident census. The daily posting was completed by the Staffing Scheduler, who relied on census numbers provided during the morning meeting by the admission Director. The census number used was based on the count at midnight and was not updated to reflect admissions or discharges that occurred after that time. Interviews with the Staffing Scheduler and the admission Director revealed a lack of clarity and consistency in how the census numbers were determined and reported. The Staffing Scheduler did not update the posted census if changes occurred after the initial count, and the admission Director confirmed that the number provided did not always include recent admissions or discharges. The Administrator was unaware of these discrepancies and confirmed that the posted census reflected the midnight count rather than the current census for the day.