Failure to Maintain Current Daily Nurse Staffing and Census Posting
Penalty
Summary
The deficiency involves the facility’s failure to post required daily nurse staffing and census information for four consecutive days. On observation on 02/03/2026 at 10:14 a.m. and 4:15 p.m., the only staffing document posted in the front lobby/front dining space was dated 01/30/2026, even though the review period covered 01/31/2026 through 02/03/2026. This document, labeled as the facility’s direct care daily staffing 8-hour form, contained the census and the number and hours worked by RNs, LVNs, medication aides, and CNAs for all three shifts, but it was not current for the days under review. The report states that from 01/31/2026 to 02/03/2026, the facility failed to post the required current nurse staffing and census information, which surveyors identified as a failure to comply with posting requirements. In interviews, the DON stated she had previously been responsible for posting the daily census and nurse staffing information but that the ADON had taken over that responsibility in February 2026. The DON indicated the posting was expected to be in the dining room and noted that staff also had a sign-in sheet and a staff schedule in the employee breakroom, and she did not believe the lack of current posting impacted residents or guests because they could ask staff directly. The ADON reported she was not very familiar with the daily posting process, believed the DON was still posting the form, and was unsure about weekend procedures or whether a facility policy existed. The Administrator stated the DON was responsible for preparing postings and that weekend nurse supervisors were to move pre-prepared sheets, and acknowledged that lack of daily posting could affect residents and guests who wanted to know who was working. Later on 02/03/2026, the ADON reported she had just created and posted the current day’s information and found prior days’ postings behind the 01/30/2026 sheet, indicating staff had not flipped the sheets. The Administrator was unable to locate a facility policy on daily census and staffing posting and stated the facility’s procedure was to follow state and federal regulations.
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