Failure to Accurately Post Actual Nurse Staffing Hours
Penalty
Summary
The facility failed to ensure that the daily nurse staffing forms were accurately completed with the actual hours worked for each shift on 7 out of 10 days reviewed. Observations and record reviews showed that the posted forms did not reflect the actual nursing hours worked, but instead displayed the scheduled hours. Interviews with staff revealed that the receptionist posted the scheduled hours in the morning and added evening and night shift hours later, without ever updating the forms to show the actual hours worked. The staffing coordinator confirmed that actual hours were typically filled in the next day or later, rather than on the same day. The administrator acknowledged that actual nursing hours should be posted on the same day to inform residents and visitors, but this was not being done.