Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours per day, seven days per week, as required. Review of monthly work schedules for August and September 2025 showed no RN was scheduled to work, and time sheets confirmed that on several specific dates, no RN clocked in or out. On one date, an RN worked only four hours, and on another, the Director of Nursing (DON) worked eight non-consecutive hours. The facility did not have a policy related to nursing schedules available for review. Interviews with staff, including LPNs, a Certified Medication Tech, the DON, and the Administrator, confirmed that there was not consistent RN coverage, especially on weekends. The DON stated that four RNs were employed, but acknowledged that there was not always an RN on shift. The Administrator also confirmed lapses in RN coverage and awareness of the state requirement for eight hours of RN coverage per day. The MDS Coordinator occasionally worked on weekends, but overall, RN coverage was inconsistent and did not meet regulatory requirements.