Failure to Post Current Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that current nurse staffing information was posted daily in a prominent location accessible to residents, staff, and visitors, as required by its policy. On 1/2/26 at 12:08 PM, surveyors observed a posting titled "Census and Direct Service Hours Per Patient Day" in front of Nursing Station 1 near the entrance lobby with a date of 12/31/25, indicating the information was not current. During an interview at 12:10 PM, the DON acknowledged the posting was not current and explained that the Director of Staff Development had resigned and the staff member responsible for posting the staffing information did not come to work due to personal circumstances. At 1:00 PM the same day, CNA 1 stated that CNA 1 had been responsible for creating the posting by entering licensed nurse and CNA hours into a computer program that generated the daily nursing hours for posting, and that a personal circumstance had prevented CNA 1 from reporting on time to print and post the information. On 1/5/26 at 8:50 AM, surveyors again observed the same type of staffing posting in front of Nursing Station 1 near the entrance lobby, now dated 1/2/26, showing that the information still had not been updated daily. In a concurrent observation and interview at 9:10 AM, the DON stated that the posting needed to be updated every day. At 10:00 AM, CNA 1 reported that projected nursing hours for posting had been prepared and placed in a bin in front of the staffing office, and that nurses working the weekend were expected to retrieve these projected hours and post the staffing information near the two nursing stations. CNA 1 stated that the nursing hours needed to be posted so staff, residents, and families would have staffing information. Review of the facility’s July 2016 policy "Posting Direct Care Daily Staffing Numbers" confirmed that within two hours of the beginning of each shift, the numbers of licensed nurses and unlicensed nursing personnel directly responsible for resident care must be posted in a prominent, accessible, clear, and readable format, which was not done as observed on multiple days.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.