Failure to Post Actual Daily Nursing Staff Hours
Penalty
Summary
The facility failed to ensure that the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care were posted daily, as required by both facility policy and federal regulations. Observations on multiple dates revealed that the posted staffing information consisted of projected hours based on the monthly schedule, rather than the actual hours worked. Interviews with the Director of Staff Development (DSD), Assistant Director of Staff Development (ADSD), Payroll Manager (PM), and Director of Nursing (DON) confirmed that the posted information did not reflect real-time staffing, but rather estimates or projections. The PM stated that actual hours are calculated after the fact and not available for posting on the day worked. The facility's policy requires that within two hours of the beginning of each shift, the number of licensed and unlicensed nursing staff and their actual hours worked be posted in a prominent location accessible to residents and visitors. However, the staff responsible for posting the information, including the ADSD and PM, acknowledged that only projected hours were posted and that no updates were made to reflect actual hours worked during the shift. This resulted in the total number of staff and actual hours worked not being readily accessible as required.