Failure to Maintain Required Historical Nurse Staffing Information
Penalty
Summary
The facility failed to maintain required nurse staffing information for 18 months after posting, as mandated. On 2/17/26 at 9:40 AM, surveyors observed the daily nurse staffing documented only on a dry erase whiteboard. Later that day at 4:10 PM, the Administrator provided monthly staffing scheduling sheets for the past 13 months, but these did not contain the required daily staffing details such as the facility name, scheduled versus actual hours worked, and the daily census. On 2/18/26 at 10:10 AM, the Administrator acknowledged the facility had not maintained 18 months of daily staffing sheets because the information was recorded on the dry erase whiteboard and not preserved. On 2/18/26 at 3:35 PM, the MDS RN confirmed that the daily whiteboard information was erased and replaced with new information each morning, resulting in the loss of historical daily staffing data. This failure had the potential to affect all residents in the facility, as well as their representatives, visitors, and others who might wish to review the facility’s staffing levels, because the required historical daily staffing information was not retained as required.
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