Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for at least eight consecutive hours each day, as required. Review of Payroll-Based Journal (PBJ) staffing data and payroll detail reports for the months of April through August 2025 revealed multiple days where there was no RN coverage for the required duration. Specifically, there were numerous dates across these months where the facility did not have an RN present for eight consecutive hours, with gaps noted on both weekdays and weekends. During an interview, the administrator acknowledged awareness of the lack of RN coverage on weekends and stated that the facility had not been able to find a suitable RN to cover those shifts. At the time of the review, the facility had 47 residents.