Missing Daily Nurse Staffing Information: The facility failed to post complete daily staffing information on the Daily Staffing sheets. The sheets reviewed did not include the actual hours worked by RNs, LPNs, and CNAs, and many also did not list the facility name. The Administrator and RNC acknowledged the required information was missing from the staffing sheets.
Incomplete Daily Nurse Staffing Postings: The facility failed to ensure daily posted staffing sheets included accurate nurse staffing information, including actual hours worked by licensed and unlicensed nursing staff. Review of the posted sheets showed no actual staff hours documented across the months reviewed, and the CRN stated the facility had not documented the actual hours and should have.
The facility failed to post accurate daily nurse staffing information for each shift. Daily Staffing sheets were missing scheduled staffing and hours for RN, LPN/LVN, and CNA coverage on multiple dates, and the CEO stated the sheets should have been completed correctly but were not.
The facility failed to ensure nurse staffing information was accurate and posted daily for each shift. During review of the daily staffing sheets, the surveyor found the facility name was missing from all of the staffing sheets, and the CCO confirmed it should have been included.
Incomplete Daily Nurse Staffing Postings: The facility failed to ensure daily staffing sheets were accurate and posted for each shift. Survey review found missing nurse data, CNA data, and resident census information on multiple dates, and the sheets did not document the actual hours worked by nursing staff. The DON stated the staffing sheets should have been completed correctly but were not.
A facility failed to ensure its daily nurse staffing postings were accurate and included both scheduled and actual hours for licensed and unlicensed nursing staff. Surveyors reviewed staffing sheets over several months and found no actual hours documented. The DON/Administrator stated the facility did not document actual hours on the posted sheets and did not keep daily staff schedules because time adjustments were made only on staff time sheets.
Incomplete daily nurse staffing sheets were found during review of records from multiple months. The surveyor noted that actual hours worked were not documented on many sheets, with several days showing no RN or nursing hours listed, no nurses scheduled for one or more shifts, and some missing daily staffing sheets. The ADON stated the staffing sheets should have been correctly completed and were not.
Incomplete Daily Nurse Staffing Postings: The facility failed to post accurate nurse staffing information daily and for each shift. Review of the staffing sheets showed no resident census, no weekend staffing sheets, and no actual licensed or unlicensed staff hours documented for the months reviewed. The DON stated these omissions had been occurring before her arrival and had continued.
The facility did not consistently post complete daily nurse staffing information as required, omitting elements such as the facility name, current date, resident census, and the breakdown of staff hours by category (RN, LPN, CNA) on multiple days. Observations showed that the staffing postings were incomplete, and the DON confirmed that the postings were required to include all of these elements and that they did not. This failure had the potential to affect all residents by limiting access to accurate information about the staff available to meet their needs.
The facility failed to accurately complete and post daily nurse staffing information for each shift. Surveyors found that on multiple days, required census data was missing from Daily Staffing sheets, some Daily Staffing sheets were not available at all, and on other days nursing data, including the number of hours worked by nurses, was not documented. Facility leadership acknowledged that these Daily Staffing sheets should not have been missing or incomplete. This deficiency had the potential to affect all residents, their representatives, visitors, and others seeking to review staffing levels.
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