Failure to Post Nursing Staffing Information: The facility did not post nursing staffing information throughout the building. Surveyors found no staffing posted in the lobby or at the back nursing stations, and the schedule that was later observed was in very small print, difficult to read, and not clearly posted for residents, visitors, or families. Staff interviews confirmed that the former posting board had been removed during renovations and the schedule was being laid on a nurse station instead of being displayed.
The facility failed to post the required daily staffing information when surveyors observed the lobby staffing sign still dated several days earlier at one of two desk areas checked. The Administrator and DON were shown the posted sign and acknowledged that it had not been updated over the weekend.
The facility failed to keep daily staffing information current and prominently displayed. Surveyors found staffing information at the front desk dated several days earlier, and no other complete posting was seen in the main areas. Staff acknowledged the concern and stated the posting was supposed to be in a side hallway rather than at the front desk.
A facility failed to post the required nurse staffing information in a prominent place readily accessible to residents and visitors. During survey observations, the surveyor could not locate the current staffing data for units 4 and 5, and an incorrect Daily Assignment Sheet Nursing form was found behind the nursing station in a sign holder that was not accessible to residents or visitors in wheelchairs. The manager on duty confirmed the sheet was wrong and that the location was not prominent or accessible.
Staff failed to include the unit census on daily nurse staffing/assignment sheets, with 19 of 19 reviewed sheets missing this information. When a surveyor reviewed staffing records to determine which staff were working during an alleged abuse incident on one unit, the census was not documented for that shift or for multiple subsequent days across all three shifts. A scheduling manager reported not knowing who was responsible for completing the assignment sheets or that census data was required, and the DON stated they had not previously been told that the census needed to be included on the assignment sheets.
Staffing ratios and the RN in charge were not posted on the unit white boards used for staffing assignments. Surveyors observed incomplete census and staffing boards on the clinical units, including missing GNA and LPN resident assignment ratios and, at one point, no RN identified on the census board. An LPN stated the boards were to be updated during shift change, but later observations still found no staffing ratios posted on the third-floor unit.
Failure to post required staffing information was identified when the front desk staffing tray was empty and the nurses' station assignment board was blank. An LPN was unsure who the night shift supervisor was, stated the board had been wiped clean for a new assignment, and said there may not have been a nighttime supervisor. The acting DON confirmed the staffing should have been posted.
Incomplete daily nurse staffing information was posted on multiple resident care units. Surveyors observed that staffing boards on several units had no staffing ratios posted, were not filled out, or listed only LPNs and RNs without including GNAs. Follow-up observation showed the same issues remained on multiple units, and the DON was informed during the survey.
Failure to Post Daily Staffing Information: Surveyors observed that the Daily Staffing posting at the front desk was outdated and did not show current staffing levels. The most recent sheet displayed was several days old, and the receptionist stated that nursing was responsible for posting the information. No current staffing information was posted when the concern was identified and later discussed with the DON.
Failure to post complete daily staffing hours. Review of staffing sheets showed the facility did not document the actual hours worked by licensed and unlicensed nursing staff each shift, and the posted schedules lacked the required staffing totals. An LTC staffing scheduler stated they only entered HPPD and were not aware the daily posting had to include the facility name, date, census, and actual hours worked by staff providing resident care.
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