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F0732
C

Failure to Post and Accurately Maintain Daily Nurse Staffing Information

Kannapolis, North Carolina Survey Completed on 03-18-2026

Penalty

Fine: $26,685
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The deficiency involves the facility’s failure to consistently post and accurately maintain the required daily nurse staffing information. During observation on 3/1/26 at 10:40 AM, the daily nurse staffing sheet posted outside the DON’s office was dated 2/17/26, indicating that current staffing information was not being posted that day. The DON stated she had been at the facility since 2/5/26, was responsible for the schedule and daily posted staffing sheets, and acknowledged that she had failed to update the posted daily nurse staffing sheets, resulting in an outdated posting remaining in place. Further record review of the facility’s daily nurse staffing postings for the 28-day period from 2/1/26 through 2/28/26, compared to the daily staffing schedules, showed multiple discrepancies between the number and type of staff actually scheduled and the numbers documented on the posted sheets. On numerous dates, the posted sheets reflected incorrect counts of NAs, LPNs, and RNs for specific shifts. Examples included days when the posted number of NAs on the 7:00 AM–3:00 PM shift was higher or lower than the schedule, and days when the posted number of LPNs or RNs on the 3:00 PM–11:00 PM or 11:00 PM–7:00 AM shifts did not match the staffing schedule. In an interview on 3/4/26 at 9:35 AM, the DON reviewed the staffing schedules and daily postings and confirmed that the numbers did not match for multiple dates. She explained that she had failed to include Medication Aides and Restorative NAs in the total NA count and had not updated the posted staffing sheet when additional staff came in to cover staffing needs. In a separate interview on 3/4/26 at 1:28 PM, the Administrator stated that the daily staff schedule posting and the staffing schedule should match the number of staff who worked on any given shift, confirming that the posted information was expected to accurately reflect actual staffing.

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