Failure to Post Daily Nurse Staffing and Census Information
Penalty
Summary
The deficiency involves the facility’s failure to post required daily nurse staffing and census information for a continuous period of 20 days. Surveyors observed on multiple occasions that the only staffing document displayed in the front lobby was dated several weeks earlier and labeled for a prior day, even though it contained census and scheduled staffing information for various shifts. The required current daily posting, which must include the facility name, current date, total number and actual hours worked by RNs, LPNs/LVNs, and CNAs directly responsible for resident care per shift, as well as the resident census, was not posted for any of the days reviewed. During interviews, the ADON stated he was responsible for posting the daily census and nurse staffing information and acknowledged that he had not been posting it, despite having the prepared postings kept in a book. He explained that he had “just not put them out” and had “forgot” to post them, and also reported that the facility did not have a policy on posting the daily census and nurse staffing. The DON stated her expectation was that the information be posted daily and confirmed the ADON was responsible for this task, but she was unsure why it was not posted on one of the observed days. The Administrator also stated his expectation that the posting be done daily, acknowledged it was a requirement, and noted that some families were aware they could review a nurse staffing binder at the nursing station, which contained staffing schedules and assignments, but this binder was separate from the required public posting.
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