Failure to Accurately Post and Maintain Daily Nurse Staffing Information
Penalty
Summary
The deficiency involves the facility’s failure to accurately post daily nurse staffing information and to ensure that the posted information matched the actual staffing schedule. Record review of 30 days of postings compared to the staffing schedules showed discrepancies on 7 days, including incorrect counts of NAs on various shifts and an incorrect count and classification of an RN and LPNs on one day. The Scheduler confirmed that she did not update the posted staffing sheet when staff called out, were no-shows, or when replacement staff came in, and she acknowledged miscounting an RN as an LPN on one shift. The Administrator stated that the daily posted nurse staffing sheet and the nursing schedule should match the number of staff who actually worked each shift. The facility also failed to ensure that the daily staffing sheet was posted on at least one observed day. During the initial tour and a later observation on the same day, the staffing posting in the reception area was dated several days earlier, indicating that the current day’s staffing information was not displayed. The Scheduler stated that she or the DON were responsible for posting the daily staffing sheets on weekdays and believed the DON had posted the sheet that morning. The DON reported that she had posted the sheet early that morning and suggested it might have been removed for review and not replaced. The Administrator reported being told by the DON that the sheet had been posted and suggested it was possible someone removed it and failed to return it to the display area.
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