Failure to Maintain Required Daily RN Coverage
Penalty
Summary
The facility failed to ensure an RN was on duty for at least 8 consecutive hours a day, as required. During review of monthly scheduled staffing sheets from January 2025 through January 2026, surveyors identified that on 4/11/25 the facility did not have 8 consecutive hours of RN coverage. The Administrator confirmed that on that date the facility only had 4.75 hours of RN coverage. The DNS later stated she could not find any additional RN hours worked on 4/11/25 beyond the 4.75 hours already reported. This deficiency was based on record review of the facility’s monthly scheduled staffing sheets and staff interviews with the Administrator and DNS, and it was determined that this lapse in RN coverage occurred on 1 of 3 days reviewed for RN coverage, with the potential to affect all residents residing at the facility.
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