F0732

C

Failure to Post Required Daily Nurse Staffing and Census Information

Kerrville, Texas Survey Completed on 02-06-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to post required daily nurse staffing and census information in a prominent location for at least one of three days reviewed. On 02/04/2026, during an afternoon tour, surveyors were unable to locate any document displaying the daily census and nurse staffing information. Later that day, the Administrator stated that the daily census and nurse staffing posting was usually placed in a clear display holder outside the DON’s office and that it was typically the DON’s responsibility to post the document. The Administrator explained that, in the absence of the posting, residents and visitors could ask to view the nurse staffing schedule kept at the nurses’ station.

When asked to provide the staffing posting, the Administrator produced a document labeled with the facility name and dated 12/19/2025. This document listed, by staff type (RNs, LVNs, CNAs, medication aides, and staff training), the number of staff, hours scheduled, and total hours worked, as well as the total hours worked for the day and the daily census; however, it did not break down the information by shift as required. The Administrator acknowledged the document was probably not completed correctly. In a subsequent interview, the DON, who had been in her role for just over one month, reported she did not know who had previously been responsible for posting the daily census and nurse staffing document or when it was last posted, though she confirmed that the nursing schedule was always available at the nurses’ station. Review of the facility’s policy "Posting Direct Care Daily Staffing Numbers" showed that the facility was required to post, within two hours of the beginning of each shift, detailed nurse staffing data by shift, including staff type, category, and actual time worked, in a prominent, accessible location.