Failure to Provide Required Daily RN Coverage
Penalty
Summary
The facility failed to provide required Registered Nurse (RN) coverage for eight consecutive hours per day on 26 days between November 1, 2025, and January 25, 2026, while reporting a census of 26 residents. Review of nursing schedules showed that in November 2025 there was no RN coverage on the 8th, 9th, 15th, 16th, 22nd, 23rd, 27th, 29th, and 30th; in December 2025 there was no RN coverage on the 6th, 7th, 13th, 14th, 20th, 21st, 25th, 27th, and 28th; and in January 2026 there was no RN coverage on the 1st, 3rd, 4th, 11th, 17th, 18th, 24th, and 25th. Staff interviews and schedule review confirmed that the facility did not have an RN in the building for the required eight hours on these dates. The Administrator acknowledged that RN coverage was an ongoing issue and verified the lack of RN coverage on the identified dates. The facility assessment documented that the facility would continue working toward a staffing level that meets the minimum staffing final rule. No specific resident medical histories or conditions at the time of the deficiency were described in the report.
