Failure to Accurately Post and Complete Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that Nurse Staffing Information was posted in a prominent and readily accessible location for residents, staff, and visitors. Observations revealed that the staffing sheets were placed flat on the counter of the receptionist desk in the front lobby, requiring individuals to stand over the desk and look down to view them. Interviews with the receptionist and the administrator confirmed that this had been the standard practice, and neither was aware that this did not meet regulatory requirements for accessibility. Additionally, the facility did not accurately complete the Nurse Staffing Information sheets. On multiple days, the resident census section was either left blank or included both skilled nursing and assisted living residents, rather than only the skilled nursing census as required. The administrator acknowledged that the census for the entire facility had been included for an extended period and was unaware that this was incorrect until reviewing the regulations during the survey. There were also discrepancies between the posted Nurse Staffing Information sheets and the actual nursing assignment sheets. The posted sheets often listed incorrect numbers and hours for RNs, LPNs, NAs, and did not include Temporary Nurse Aides (TNAs) who were scheduled to work. The administrator stated she was not aware that the posted information needed to reflect absences due to illness or call-outs, but recognized the requirement after reviewing the regulations. These inaccuracies were observed across all reviewed days.