Failure to Post Accurate Daily Nurse Staffing Hours
Penalty
Summary
The facility failed to ensure that the posted daily nurse staffing sheets contained accurate and identifiable information, specifically the actual hours worked per shift by licensed and unlicensed staff providing resident care. On the survey date, the posted nurse staffing form for that day, observed near the nurse’s station, did not include the actual hours worked for RNs, LPNs/LVNs, and CNAs. The form was observed twice on the same day and on both occasions lacked the required actual hours worked per shift. The facility census at the time was 40 residents. Staff interviews confirmed that actual hours were not being updated on the posted staffing sheets as required by facility policy. An LN reported that nurses do not change the time or add actual hours on the posted sheet, even when staff arrive late, and that the business office updates the information later. An administrative nurse stated she placed the staffing sheet out and that the office added actual hours at the end of the week, with no adjustments made before then. Another administrative nurse stated that nurses should be entering the actual hours on the posted staffing sheet after the start of each shift. This practice conflicted with the facility’s written Nurse Staffing Posting Information policy, which required daily posting of staffing sheets with actual hours worked and updates after the start of each shift to reflect staff absences and call-outs.
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