Failure to Ensure Daily Posting of Nurse Staffing Information
Penalty
Summary
The deficiency involves the facility’s failure to post required daily nurse staffing information in a location visible to residents and visitors on one of four survey days, and the lack of an effective process to ensure this information was posted every day, including weekends. On a Sunday at 10:00 AM, surveyors observed that the daily staffing information sheet at the reception desk was dated three days earlier, indicating that current staffing information for the intervening days had not been posted as required. No residents or specific patient conditions were mentioned in relation to this deficiency. Interviews and record reviews showed that the Scheduler was solely responsible for preparing and posting the daily staffing information sheets and did not work on weekends or certain weekdays. The Scheduler acknowledged that she had not completed or posted the daily staffing information sheets for the days she was off and stated that there was no process in place to ensure postings occurred in her absence. She also reported that she had not discussed implementing such a process with the Administrator. The Administrator confirmed that the Scheduler was responsible for posting the staffing sheets and stated she was unaware that postings were not occurring when the Scheduler was out of the office, and that the facility had no process to ensure daily postings when the Scheduler was absent or on weekends.
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