F0732

C

Failure to Post and Maintain Accurate Daily Nurse Staffing Information

Roxboro, North Carolina Survey Completed on 12-17-2025

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to consistently post and maintain accurate daily nurse staffing information as required. On one of four observed survey days, the daily nurse staffing sheet posted near the elevator was dated several days earlier and was not updated to reflect the current date, census, or staffing, and this outdated posting remained in place during multiple observations that day. Staff interviews revealed that the Scheduler typically prepared the daily nurse staffing sheets and placed them in a folder for nurses to update and post on weekends, but a nurse who worked multiple consecutive days did not notice that the posted sheet had not been updated. The admission coordinator stated that the Scheduler usually completed and posted the sheets, and when the Scheduler was unavailable, she attempted to complete and post them, while nurses were expected to ensure the postings were current and reflected actual staff working.

A review of daily nurse staffing sheets over a 45‑day period showed that 10 days of postings were missing or unavailable for review, and on three additional days the sheets were incomplete, lacking required information and hours for Nursing Assistants on specific shifts. The admission coordinator reported that the Scheduler was responsible for maintaining and ensuring the accuracy of these records but was unable to locate the missing sheets. The administrator stated that the Scheduler filled out the daily nurse staffing sheets and provided them to the DON, and that significant management turnover contributed to the facility’s inability to locate the missing documents. No specific residents or clinical conditions were described in relation to this deficiency; the findings focused on documentation and posting of staffing information.