Failure to Post and Update Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted and readily accessible for review, as required. Observations on two separate days revealed that the Direct Care Report, which should display current staffing information, was not updated and still reflected information from a previous day. The posting included details such as the facility census, staff types (RN, LVN, CNA, CMA, Restorative Aide), and total hours worked for all shifts, but was not current on the days reviewed. Interviews with the Staffing Coordinator and the Administrator confirmed that the responsibility for updating the Direct Care Report was not fulfilled on the days in question due to staff absences and oversight. The facility's policy requires daily posting of staffing numbers for each shift in a prominent location, with specific information to be included and updated within two hours of each shift's start. However, on the identified days, the required updates were not made, resulting in the absence of current staffing information for residents, visitors, vendors, and emergency personnel.