F0732

C

Failure to Post Daily Nurse Staffing Information

Conroe, Texas Survey Completed on 02-12-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency in the facility’s failure to post the required daily nurse staffing information on at least one day. On the morning of 02/10/26 at 10:39 AM, observation showed that the designated nurse staffing posting area on the wall facing the lobby, across from the nursing station, was empty and did not display the required staffing information. The facility’s written policy, implemented in 03/2025, required that a Nurse Staffing Sheet be posted on a daily basis at the beginning of each shift, include the facility name, current date, current resident census, and the total number and actual hours worked by RNs, LPNs/LVNs, and CNAs per shift, and be placed in a prominent, readily accessible location.

In interviews, the DON stated she was responsible for updating the staffing posting, that it was typically updated at the beginning of the shift, and that on 02/10/26 it was not updated timely because she was in a morning meeting. The Administrator, who had just started working at the facility on 02/09/26, stated that the DON and ADON were responsible for the posting and that it should be posted as early as the start of the first shift at 6:00 AM; he was not aware it had not been posted timely on 02/10/26. The ADON confirmed that she shared responsibility for the posting, that it should be updated daily at the start of her shift, and reported that on 02/10/26 she arrived at 9:00 AM and was busy with patient-related situations, which delayed updating the posting. Both the DON and ADON acknowledged that failure to update the posting could leave visitors without current information on census and staffing.