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F0732
F

Failure to Post Daily Nurse Staffing Information

San Marcos, Texas Survey Completed on 12-30-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to post required daily nurse staffing information, including the facility name, current date, total number and actual hours worked by RNs, LPNs, and CNAs per shift, and the resident census. This deficiency was observed for a period from 12/19/2025 to 12/29/2025. On 12/29/2025, the posted staffing information was outdated, displaying a date of 12/18/2025 and an incorrect census of 92 residents, while the actual census was 104. Several residents were observed near the posting, and one resident expressed that knowing the staffing numbers would be beneficial. Interviews with facility staff revealed that the VNDV was responsible for posting the staffing information daily but failed to do so due to being busy with other duties, especially during the holidays. The DON stated her role was limited to directing the VNDV to post the information and admitted she had not monitored compliance. The ADM indicated that the responsibility had always been assigned to the VNDV and was unaware of any issues until recently. The facility's policy required daily posting of staffing numbers in a public area, but this was not followed during the cited period.

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