Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was accurately posted and updated, including the total number of hours and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift, potentially affecting all 47 residents in the facility. On entrance to the facility, the surveyor observed that the Direct Care Report posted in the lobby was dated several weeks earlier and reflected a census of 47, indicating it was not current. Subsequent review of staff schedules and staff postings from early December through mid-January showed that schedules had multiple marked changes on specific dates, but the corresponding daily staff postings did not reflect accurate staffing numbers for several of those days. During an interview, the Nursing Home Administrator and Assistant Nursing Home Administrator explained that the receptionist posts the daily staffing information in the morning after updating the census, and that the daily posting is not manually updated when staffing changes occur, with changes only reflected on the internal daily schedules rather than on the publicly posted staffing information. No specific residents, medical histories, or clinical conditions were described in the report beyond the total facility census of 47 residents who could be affected by the inaccurate staffing postings.
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