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F0732
C

Failure to Timely Post Daily Nurse Staffing Information

Houston, Texas Survey Completed on 12-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that the daily direct care staffing information was posted and readily accessible for review as required. On the morning of 11/12/25, observations revealed that the Direct Care Daily Staffing Numbers displayed at both the front entrance and by the DON's office were dated for the previous day, 11/11/25, rather than being updated for the current day. The postings included the facility name, census, scheduled hours, and staffing totals for direct care staff, but were not current as required. The facility operated with 12-hour shifts for RNs, LVNs, and some CNAs, and other staff had varying shift times. The outdated posting was later observed being removed by the Staffing Coordinator. Interviews with the Administrator and the Staffing Coordinator confirmed that the Staffing Coordinator was responsible for updating the daily direct care posting within two hours of the start of the first shift, which begins at 6:00 AM. The Staffing Coordinator stated that her shift typically started at 8:15 AM and that she was expected to update the posting within two hours of her arrival. She reported that on the day in question, her update was delayed because she was assisting residents on the floor and had not received training regarding the regulations for the timing of the posting. Both the Administrator and the Staffing Coordinator acknowledged that failure to update the posting in a timely manner could result in confusion for residents and visitors regarding the facility census and available staffing.

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