F0732

C

Failure to Update and Post Daily Nursing Staffing Information

The Woodlands, Texas Survey Completed on 02-05-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure that the daily nurse staffing information was updated and posted as required. On 02/05/26 at 9:08 AM, surveyors observed the "Daily Nursing Staff Direct Responsible for Resident Care" posting at the center nursing station facing the front door, and the document was dated 02/04/26 instead of the current date. The posting listed three shifts for nurses and CNAs (6 AM–2 PM, 2 PM–10 PM, 10 PM–6 AM), and two shifts for CMAs and RNAs (6 AM–2 PM, 2 PM–10 PM), and included the facility census, numbers of RNs, LVNs, CNAs, CMAs, RNAs, and total hours worked for all shifts. The posting was not updated for the current day, contrary to the facility’s policy.

During an interview later that day, the Administrator stated that the staffing coordinator was responsible for updating the daily staffing posting around 6:30 AM and that, in her absence, the DON was responsible for this task. The Administrator acknowledged that the posting serves to notify everyone in the building of the type and number of staff available for resident care on a particular day and confirmed that the posting still showed the prior day’s date. In a separate interview, the DON confirmed that the staffing coordinator normally updates the posting and that she is responsible when the coordinator is absent, and stated that the posting is typically updated before the first shift. Review of the facility’s policy "Posting Direct Care Daily Staffing Numbers" (revised 07/2016) showed that within two hours of the beginning of each shift, the shift supervisor must compute the number of direct care staff, complete the staffing form, date it, record the census, and post the information in a prominent, accessible location, which was not done for the observed date.