Failure to Post Daily Nurse Staffing and Census Information
Penalty
Summary
The facility failed to post daily nurse staffing and census information as required for 13 out of 15 days reviewed. Observations on 12/29/2025 revealed that the most recent posting was dated 12/16/2025, and interviews with staff indicated confusion and lack of clarity regarding responsibility for updating and posting this information. The Assistant Director of Nursing (ADON) stated that the new Staffing Coordinator (SC) may not have been trained on the process, and the previous SC had left suddenly, resulting in a lapse in the daily posting routine. The Wound Care (WC) Nurse and the new SC both confirmed uncertainty about the procedure for posting the required information, with the SC stating she was learning her responsibilities day by day and had only recently been informed about the posting procedure. Further interviews with the Registered Nurse Consultant (RNC) and the Administrator (ADMIN) confirmed that the SC was responsible for the postings, but there was a breakdown in communication and procedure following the prior SC's departure. The RNC and ADMIN both indicated that, although the staffing book was available for review, the daily posting requirement was not consistently met during the period in question. No specific residents or patient conditions were mentioned as being directly affected in the report.