Failure to Post Daily Nurse Staffing and Census Information
Penalty
Summary
The facility failed to post daily nurse staffing and census information for three consecutive days, as required. Observations on multiple occasions revealed that the information regarding the facility name, current date, total number and actual hours worked by RNs, LPNs, and CNAs per shift, as well as the resident census, was not publicly posted. Interviews with the DON and ADON confirmed that the postings were missing and that neither could determine how long the information had not been posted. The DON stated that the responsibility for posting was assigned to the ADON and the weekend supervisor, but the display case used for posting could not be located. Both the DON and ADON indicated they were unaware of any inquiries from residents or families regarding the posting and did not believe the absence of the posting had an impact. Further, the DON revealed that the facility did not have a policy regarding the required postings. The ADON confirmed that while the facility maintained the procedure of creating, updating, and preserving the daily census and nurse staffing documents, the actual public posting had not occurred for an undetermined period. No specific residents or patient conditions were mentioned in relation to this deficiency.