Incomplete Posting of Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was accurately posted on a daily basis for each shift, as required by 42 CFR §483.35(g). The State Operations Manual, Appendix PP, specifies that facilities must post 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. On 3/17/26 at 12:31 PM, surveyors observed that the daily staffing sheet for 1/20/26 was missing the CNA number of staff present and their hours worked. Later that same day at 12:45 PM, surveyors observed that the daily staffing sheet for 2/15/25 was missing RN hours worked for the day, evening, and night shifts. On 3/18/26 at 9:30 AM, the Executive Director confirmed that the CNA and RN worked hours and staff present data should have been documented on the daily staffing sheets for those dates and had not been. This deficiency had the potential to affect all residents in the facility, as well as their representatives, visitors, and others who wished to review the facility’s staffing levels, because the posted information was incomplete and did not fully reflect the required nurse staffing data.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.