Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to accurately post daily nurse staffing information for a period of 32 consecutive days. Record review and staff interviews revealed that the posted staffing sheets were incomplete and inaccurate when compared to the actual daily staff schedules. Specifically, the total actual hours worked for each shift by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nurse Aides were left blank. Additionally, the total number of licensed and unlicensed staff listed on the postings did not match the actual number of staff working on multiple dates and shifts. The discrepancies included both underreporting and omission of staff such as wound nurses, nurse supervisors, and medication aides from the posted totals. Interviews with facility staff indicated a lack of understanding and oversight regarding the completion of the staffing sheets. The receptionist responsible for posting the information stated she did not have access to the new time clock system to calculate total hours and was unaware of the requirement to include certain staff roles in the totals. The Director of Nursing (DON) confirmed the inaccuracies and incomplete postings, acknowledging that the sheets did not reflect actual hours or correct staff numbers. The Administrator was also unaware of the deficiencies, as the DON was responsible for overseeing the task.