Failure to Accurately Complete Daily Nurse Staffing Postings
Penalty
Summary
The facility failed to ensure accurate daily nurse staffing postings for 13 of 30 reviewed days when required resident census information was missing from the posted staffing sheets. Record review of daily nurse staffing postings from mid-November through mid-December showed that on multiple specific dates the postings did not include the resident census, which is required information on the daily staffing notice. During interview, the DON reported she was responsible for completing the daily nurse staffing postings, typically filling them out the previous evening and updating them with the current census after the morning clinical meeting, and stated that a unit manager was responsible for updating the census on weekends. The DON acknowledged that on the days in question the census portion of the daily nurse staffing postings had been overlooked and not updated. In a separate interview, the Administrator stated she expected the daily staff posting to be completed to include the resident census. No specific residents, medical histories, or clinical conditions were identified in the report in relation to this deficiency.
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