Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was present in the facility for eight consecutive hours on a specific day, as required by regulations. Record review of the nursing services staffing schedule and staffing tool for the period of 06/22/25 to 06/27/25 showed that, although the facility met or exceeded the minimum staffing requirement of 2.5 hours of direct care per resident per day, there was no RN on staff for eight consecutive hours on 06/25/25. During an interview, the Human Resources Manager confirmed that the facility was staffed based on acuity and census numbers, with one nurse and one aide per unit, and acknowledged that the required RN coverage was not met on the identified day. The Director of Nursing (DON) was full-time, but the facility did not have an RN present for the required duration on that day. This deficiency was identified during the investigation of a specific complaint and had the potential to affect all residents in the facility.