Failure to Maintain Accurate and Complete Daily Nurse Staffing Postings
Penalty
Summary
The deficiency involves the facility’s failure to ensure that daily nurse staffing postings were consistently displayed and accurately reflected actual staffing. Review of staffing schedules and required staff postings from 12/1/2025 through 1/20/2026 showed that 7 of 51 daily staff postings could not be located for specific dates, meaning the required information was not available on those days. Additionally, for the days where postings were available, the surveyor identified discrepancies between the posted staffing and the actual staffing schedules on two dates, specifically for the NOC shift. On those two dates, the NOC shift staff postings listed 4 CNAs, while the staffing schedules showed only 3 CNAs actually scheduled to work. During an interview, the Clinical Coordinator stated they were responsible for updating the staff postings to reflect the actual staff who worked the prior NOC shift and acknowledged that the postings for those dates should have been updated to show only 3 CNAs. The Clinical Coordinator was also unable to locate the missing staff postings and stated they should have been available. These issues affected the accuracy and availability of posted information about licensed staff directly responsible for resident care on the NOC shift for all 53 residents in the facility.
