Failure to Post and Maintain Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post daily nursing staff information and to maintain at least 18 months of daily staffing postings as required. Surveyors noted that the CMS 671 form dated 12/16/25 documented 84 residents in the building, but on 12/18/25 at 10:20 AM the posted direct care staff daily report was still dated 12/16/25. During the survey, the Regional Nurse Consultant stated there were no daily staffing reports available after 7/31/25, indicating a gap of over four months without maintained postings, and explained that the prior DON had kept copies of the daily posted reports but the current DON did not. The Administrator acknowledged the importance of posting daily staffing numbers to know who is working and to ensure appropriate staffing for the day. The facility’s undated Nursing Services and Sufficient Staff policy states that the facility will supply services by sufficient numbers of licensed nurses and nurse aides on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans. This failure to post and maintain daily staffing information had the potential to affect all 84 residents residing in the facility, as identified in the CMS 671 form.
