Failure to Timely Post Daily Nurse Staffing and Census Information
Penalty
Summary
The deficiency involves the facility’s failure to post required daily nurse staffing and census information at the beginning of, or within two hours of, the 6:00 a.m. to 6:00 p.m. shift on 03/07/2026. At 12:00 p.m. on that date, surveyors observed that the document posted in the front lobby was labeled as the daily staffing for Friday, March 6th, and contained the census and scheduled number and hours worked for CNAs, LVNs, RNs, hospitality aides, and total hours worked for the two 12-hour shifts. A subsequent observation at 12:49 p.m. showed that the correct document labeled as the daily staffing for Saturday, March 7th, was then posted in the same location, indicating that the required information had not been posted timely for that day’s day shift. During interviews, the DON stated that the weekend supervisor was responsible for posting the daily census and nurse staffing document on weekends, but the weekend supervisor did not work on 03/07/2026. She reported that the administrator posted the document but acknowledged it was posted late and was unsure who served as the weekend supervisor’s backup for this task, adding that she did not know the impact of the late posting because it had never happened before. The administrator stated her expectation was that the weekend supervisor post the daily census and nurse staffing document in the front area, and when there was no weekend supervisor, the manager on duty would usually complete the task. She could not explain why the document was not posted on time and confirmed that the document serves as a notification to the general public about staffing per shift, with the same information also available in a staffing book in the lobby. Policy review showed that the facility’s “Posting Direct Care Daily Staffing Numbers” policy, revised August 2022, requires that within two hours of the beginning of each shift, the number of licensed nurses and unlicensed nursing personnel directly responsible for resident care be computed by the charge nurse or designee and posted in a prominent, accessible location using the Nurse Staffing Information form.
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