Incomplete Daily Staffing Posting: The facility failed to ensure the daily staffing posting included all required information. The posting showed the date and the total number of licensed staff with their designation, but it did not include the facility name, a clearly identified census, or the total actual hours worked by licensed staff. The senior manager of scheduling operations, RN-A, the DON, and the administrator gave differing accounts of who was responsible for updating weekend changes and acknowledged uncertainty about the exact posting requirements.
Daily staffing postings on all three units showed staff names and disciplines, but the hours scheduled and current census were not visible. The DON confirmed the census was not included, and the administrator verified that the hours on the back of the posting reflected the prior day's schedule because the new posting had been placed on top of it.
Surveyors found that required daily nurse staffing information was not posted anywhere in the building, including the administrator’s office door, primary areas, hallways, or entrance. The administrator acknowledged responsibility for posting the information and admitted it was not printed or posted. Facility policy required that nurse staffing information be posted daily, seven days a week, in a readable format and be readily available to residents and visitors, but this was not done, potentially affecting all 33 residents and visitors seeking this information.
Incomplete Daily Nurse Staffing Posting: The facility failed to post required nurse staffing information daily and the posting did not include the daily census or the total number of licensed nursing staff working each shift. The DON stated she usually completed the posting at the end of the week because of call-ins and was not aware census and total licensed staff had to be included. The facility policy required the information to be posted at the beginning of each shift.
Nursing daily staffing report was posted behind the reception desk where it was hard to see and read from the desk area. OSs and the ADM stated the report had been posted in that location for years, people in wheelchairs could not see it, and others had to lean over the counter to view it. The ADM also stated the font could be bigger for people to read.
Incomplete Daily Nurse Staffing Posting: The facility failed to post the required nurse staffing information daily and the hallway posting remained dated from a prior day over the weekend. The posting listed totals for CNA, LPN, and RN hours, but did not break staffing out by shift and did not include TMA information. The SC and DON stated the posting was supposed to show daily staffing by shift for residents and families to review.
A facility failed to include the daily census and actual hours worked by nursing staff groups on the daily staffing data document. Observation and record review showed the staffing postings and daily schedule reports lacked this required information, and the scheduler and administrator acknowledged the omission after a template change.
Staffing Posting Not Accessible or Posted Daily: The facility failed to post the required nurse staffing information daily and in an area accessible to residents and visitors. Surveyors observed the posting only on the 1st floor, across from offices, while all residents lived on the 2nd floor and the elevator required a code to use. The BOM confirmed the posting was only in that location, was too high for residents in wheelchairs, and had not been posted on weekends because the BOM was the only staff responsible and worked Monday through Friday.
Daily Nurse Staffing Posting Not Updated: The facility failed to keep the required nurse staffing information current. During survey observations, the staffing post displayed an outdated date, and the DON/Administrator confirmed the list was wrong and had not been updated. The facility policy required daily posting of actual hours and total hours worked by licensed and unlicensed nursing staff in a clear and readable format.
Inaccurate Daily Nurse Staffing Postings: The facility failed to keep the daily staffing post current and accurate. Review of assignment sheets showed multiple mismatches between actual nursing/CNA staffing and the posted counts, and the posted census also differed from the EHR census. The scheduler stated the postings were printed in advance and not updated daily, while the DON and administrator confirmed the posting was expected to reflect the current census and actual direct care staffing numbers and hours.
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