Failure to Accurately Complete and Post Daily Nurse Staffing Information
Penalty
Summary
The deficiency involves the facility’s failure to post accurate daily nurse staffing information for all 30 days reviewed. Record review of daily nurse staffing sheets showed that the RN/LPN designation was not indicated for the assigned nurses on any of the forms. In addition, the resident census was left blank for both the morning (7:00 AM–3:00 PM) and evening (3:00 PM–11:00 PM) shifts on multiple dates, and was also left blank for the evening shift on several other dates. These omissions meant that the posted staffing forms did not contain complete information on nurse licensure level or shift-specific census as required. During interviews, a nurse reported she had been trained during orientation by an LPN preceptor and knew all areas of the form needed to be completed, but she only documented the census for the 11:00 PM–7:00 AM shift because the number could change on other shifts, and she was not aware that RN or LPN designation needed to be listed beside each nurse’s name. The DON stated she was unsure how training on the daily staffing report was completed, believed the census was per day rather than per shift, and did not know whether listing RN/LPN designation was a state requirement or a facility process. The Administrator stated that nurses received training during orientation, that all areas of the report including census should be completed, and that each nurse’s RN or LPN designation should be listed, but acknowledged the reports were being completed incorrectly.
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