F0732

C

Inaccurate and Incomplete Daily Nurse Staffing Postings

Halstead, Kansas Survey Completed on 04-15-2026

Penalty

No penalty information released

Summary

The facility failed to ensure that its posted daily nurse staffing sheets contained accurate and complete information, including the facility name and total hours worked, as required. On 04/13/26 at 08:00 AM, the posted staffing sheet did not include the total hours worked. On 04/14/26 at 09:30 AM, the posted staffing sheet again lacked the total hours worked and also did not list the facility name. Review of prior daily staffing sheets dated 05/13/25 and 03/18/26 showed that these postings also did not include the total hours worked. During an interview on 04/14/26 at 11:48 AM, Administrative Nurse D explained that the night shift nurse completed the next day’s staffing sheet and posted it before the start of the next shift, and stated that the column labeled “actual hours” represented the total hours worked. The facility’s policy, “Daily Nurse Staff Posting,” dated 11/28/17, required that at the beginning of each shift the charge nurse compute the number of full-time equivalents on duty, record this on the Daily Nurse Staffing form, and post it in designated locations so it could be easily seen and read, and also required that the facility census be recorded and updated with any admissions or discharges throughout the day.

This deficiency centers on the inconsistency between the facility’s policy requirements for daily nurse staffing postings and the actual content of the posted forms, which repeatedly lacked required elements such as total hours worked and, on at least one occasion, the facility name.