Failure to Provide Required RN Coverage and Full-Time DON
Penalty
Summary
The facility failed to provide a Registered Nurse (RN) on duty for eight consecutive hours per day as required by federal regulations, with documented absences of RN coverage on specific days in July and November 2025. Additionally, the facility did not have a full-time Director of Nursing (DON) in place from October 18, 2025, until December 1, 2025, as confirmed by both the Interim DON and the Administrator. These deficiencies were identified through review of facility schedules, new hire and termination lists, and staff interviews. The facility had a reported census of 25 residents during this period. No information regarding the medical history or condition of individual residents at the time of the deficiency was provided in the report.