Failure to Provide Required RN Coverage and Improper Use of DON as RN
Penalty
Summary
The facility failed to provide eight consecutive hours of Registered Nurse (RN) direct care coverage on three specific dates within a seven-day period, as required by regulation. Staffing reports and staff time punch records confirmed that no RN was scheduled or present for the required hours on those dates. The Regional Director of Nursing (DON) was the only RN in the building and was providing resident care during these times. Interviews with the Regional DON and Staffing Coordinator confirmed that no other RNs were present on the identified dates. Additionally, the facility did not have a policy regarding RN coverage requirements, although the Administrator acknowledged awareness of the regulatory requirement for 8 hours of consecutive RN coverage daily and that the DON could not serve as the facility's RN coverage. This deficiency had the potential to affect all 94 residents in the facility. No specific details about individual residents' medical history or conditions at the time of the deficiency were provided in the report.