F0732

C

Failure to Post Required Actual Nursing Hours on Daily Staffing Sheets

Wichita, Kansas Survey Completed on 02-25-2026

Penalty

No penalty information released

Summary

The facility failed to ensure that posted daily nurse staffing sheets included accurate and identifiable information, specifically the actual hours worked by nursing staff. On two separate observations in February, surveyors noted that the posted staffing sheets did not list the actual hours worked. Additionally, review of historical daily staffing sheets from two prior dates showed the same omission of actual hours worked. The posted sheets were required to reflect detailed staffing information, including the actual time worked during each shift for each category and type of nursing staff.

Administrative staff reported that a certified medication aide functioning as the staffing coordinator provided staffing numbers to the receptionist, who then printed and posted the daily staffing sheets in the lobby. The staffing coordinator confirmed that the actual hours worked were not included on the posted sheets, and administrative staff later verified that the posted daily staffing sheets did not contain the required actual hours worked for resident care medical staff. The facility’s own policy, dated July 2016, required that the posted form include the facility name, date, resident census, 24-hour shift schedule, shift, type and category of nursing staff, the actual time worked during the shift for each category and type of nursing staff, and the total number of licensed and non-licensed nursing staff for the posted shift, which was not followed.