Failure to Provide Required RN Coverage for Eight Consecutive Hours
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for a minimum of eight consecutive hours within a 24-hour period on one day during the review period. Specifically, on 12/13/25, posted nurse staffing information indicated that an RN was scheduled for the day shift, but the actual daily schedule showed only licensed practical nurses (LPNs) were present, with no RN coverage documented for that 24-hour period. During an interview, the director of nursing (DON) confirmed that there was no RN coverage on that date, despite the posted information. Review of the facility's Nurse Staffing Hours policy revealed that while it required posting of total and actual hours worked by nursing staff, it did not specify the requirement for RN coverage for eight consecutive hours in a 24-hour period. This deficiency had the potential to affect all thirty-six residents residing in the facility.