Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was accurate and posted daily for each shift, as required by its own policy. The facility’s “Staffing, Sufficient and Competent Nursing” policy, revised April 2025, stated that direct care daily staffing numbers for each shift must be posted in the facility. On 4/13/26, surveyors reviewed the daily postings of licensed and unlicensed nurse staffing for the period 11/1/25 through 4/11/26 and found there were no adjustments made to the posted staffing when the scheduled hours did not match the actual hours worked. During an interview on 4/13/26 at 11:37 AM, the RNC and DON confirmed that the facility does not update the daily posted staffing with actual hours worked and instead only adjusts the time on the daily assignment sheets. This practice resulted in posted staffing information that did not reflect the actual direct care nursing personnel responsible for resident care for each shift, affecting all residents, their representatives, visitors, and others who might review the facility’s staffing levels.
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