Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
Facility staff failed to meet nurse staffing information posting requirements for all 31 days reviewed. Specifically, the postings did not include the total number and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides directly responsible for resident care per shift. Instead, the postings only documented the total number and actual hours worked by licensed and unlicensed staff, without specifying the required categories. Additionally, on one occasion, the posted nurse staffing information was outdated, displaying a date several days prior to the observation. Interviews with facility staff revealed that the nurse staffing information postings were previously completed manually but had transitioned to being generated from an online scheduling system, which did not capture the required details. The staffing coordinator responsible for these postings had recently resigned, and the replacement from a related facility confirmed the current process and acknowledged the daily posting requirement. Facility policy also specified that the postings should include the total number and actual hours worked by RNs, LPNs/LVNs, and CNAs per shift, but this was not followed during the review period.