Failure to Properly Post and Complete Daily Staffing Information
Penalty
Summary
The facility failed to ensure that the daily staffing postings were complete and readily accessible for review on both the 1st and 2nd floors. Observations revealed that the Daily Associate Postings were hung on clipboards on the corner walls across from the nursing stations, located at the end of a T-shaped hallway, making them not easily visible or accessible to all residents, staff, and visitors. Additionally, the postings did not include the facility name on certain days, and on other days, the resident census was omitted from the postings. Interviews with the Staffing Coordinator indicated a lack of knowledge regarding CMS requirements for the Daily Associate Posting, as well as an absence of training prior to assuming responsibility for creating and posting the schedules. The Staffing Coordinator admitted to using a template without understanding all required elements and acknowledged that the postings' locations were not prominent or visible to everyone entering the facility. The Administrator confirmed that the postings were not in a location visible to all and that the Staffing Coordinator had not received appropriate training. Record reviews showed that the blank Daily Associate Posting forms did not have the facility name, and the postings observed in the open sitting areas before the resident room hallways included the facility name but omitted the resident census. The facility's policy required that the postings include the facility name, current date, resident census, and staffing for each shift, and that they be displayed in a prominent, accessible location. These requirements were not met during the survey period.