Failure to Ensure Daily RN Coverage for Required Hours
Penalty
Summary
The facility failed to provide the services of a Registered Nurse (RN) for at least eight hours daily as required. Review of the facility’s daily staffing schedules from 12/1/25 through 1/15/26 showed that there was no documentation of an RN working at least eight hours on 12/6/25, 12/7/25, 12/14/25, 12/20/25, 12/21/25, 12/28/25, 1/3/26, 1/4/26, 1/11/26, or 1/14/26. During an interview on 1/13/25 at 10:00 AM, the Administrator stated there are occasionally days without RN coverage in the building. On 1/15/26 at 10:04 AM, the Administrator further stated the facility does not have a policy regarding RN staffing and instead just follows the regulations. The facility’s CMS-671 form dated 1/13/26 documented that 56 residents were living in the facility at the time these staffing practices occurred. The deficiency centers on the lack of consistent RN coverage for at least eight hours each day, as evidenced by staffing records and confirmed by the Administrator’s statements, in a facility housing 56 residents.
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.