Failure to Consistently Post and Maintain Daily Nurse Staffing Information
Penalty
Summary
The facility failed to consistently post daily nurse staffing information as required, resulting in missing postings for 1 of 4 days during the survey period and a total of 83 days missing from June through December. Observations on specific dates revealed that the posted staffing sheet was outdated, and a review of records confirmed numerous days where the required documentation was absent. The Scheduler, who had been in the position for about two months, was responsible for posting the daily nurse staffing sheets and stated she posted them on the days she worked. However, on days she was off, she left the sheets in the assignment book for others to post, but there was no designated person to ensure this was done in her absence. The Scheduler acknowledged that there were multiple occasions when the staffing sheets were not posted when she returned to work and that she did not report these lapses to the DON or Administrator. The DON and Administrator both stated they expected the sheets to be posted daily but were unaware of the missing postings and the lack of a designated person to post the sheets when the Scheduler was off. The facility did not have a weekend supervisor in place during this period, contributing to the failure to maintain and post the required daily nurse staffing information.