Failure to Provide Required Consecutive RN Coverage
Penalty
Summary
The facility failed to provide eight consecutive hours of registered nurse (RN) coverage per day, affecting all 73 residents. On one occasion, time sheets showed that two RNs worked overlapping shifts, but their combined consecutive hours only totaled seven hours and 36 minutes, falling short of the required eight consecutive hours. Additionally, on another day, there was no evidence that any RN was scheduled or worked at the facility at all. The Director of Nursing confirmed during interviews that there was no RN coverage for the required period on these days and was unaware of the federal regulation mandating eight consecutive hours of RN coverage until the time of the interview. No specific resident medical histories or conditions were mentioned in relation to the deficiency.