Failure to Post Daily Nurse Staffing and Census Information: The facility did not post the required daily staffing and census document during facility tours, and the required RN, LPN/LVN, CNA, and census information was not posted at the beginning of each shift. The DON said the task had not been reassigned after the scheduler role changed, and the ADMIN said the posting duty had been missed for the prior two days despite the facility policy requiring the information to be posted within 2 hours of each shift start.
Failure to Post Daily Nurse Staffing Information: The facility did not post the daily nurse staffing information with the current date, resident census, and actual hours worked at the beginning of the shift. Surveyors observed no staffing posting at the front desk, and staff interviews showed uncertainty about who was responsible after the DON left. The staffing schedule and assignment sheet identified the nurses working, but the required information was not displayed for residents, visitors, and staff to see.
Failure to Post Daily Nurse Staffing Information: The facility failed to update the daily nurse staffing posting in a prominent location and the most current binder posting remained dated months earlier. The ADON said she could no longer pull the report from the computer system and was unsure whether anyone else was posting it, while the interim ADMN and DON stated the posting should be updated daily and include the census.
Failure to Post Daily Nurse Staffing Information: The facility did not post the required nurse staffing and census information with the current date and at the beginning of each shift. Surveyors observed a staffing report in the lobby that was dated incorrectly, and interviews with the DON, HR, and ADMIN showed the posting was normally handled by HR but was not completed as required. The facility policy required the staffing sheet to be posted daily with the current date and at the beginning of each shift.
Daily nurse staffing information was not updated and posted as required, with the posting still dated from the prior day when reviewed. HR said she was responsible for updating the staffing form from the schedules and normally posted it in the morning, but on this day she left for lunch and then assisted with CNA Week activities. The Administrator said there was no explanation for why the updated staffing was not posted, and the DON said the information should be posted as soon as possible in the morning per facility policy.
Failure to Post Current Nurse Staffing Data: Surveyors observed that the nurse staffing posting in the lobby was not current, and the Daily Nurse Staffing Report displayed was several days old. The DON stated staffing should be posted every day, that there was no reason for the posting to be outdated, and that she was responsible for ensuring the report stayed current. The facility policy required daily posting of nurse staffing data for each shift.
Nurse staffing posting was not posted daily in a prominent, readily accessible location for residents and visitors. On multiple observations, the posting was found in a case near the Therapy dept and not visible from the main entrance or the 100/200 and 300/400 hallways. The DON and Administrator stated the ADON and DON were responsible for the posting, and the facility policy required staffing information to be readily available in a readable format at any time.
Failure to Post Daily Nurse Staffing Information: The facility did not have the nurse staffing information posted for residents and visitors to review, and it was not found by the DON office during survey observations. The Administrator stated the posting had been moved because of office changes, and later stated the facility did not have a policy for posting nurse staffing.
Failure to Post Daily Nurse Staffing Information: The facility did not post the daily nurse staffing information at the nurse's station, and only an assignment sheet was present. The DON and Corporate QA Nurse gave differing accounts of who completed the staffing posting, and the facility had not updated the required staffing information for an extended period. The facility policy required daily posting of the number of nursing personnel responsible for direct resident care.
Daily staffing information was not posted in a prominent, readily accessible location and the posting was incomplete. Surveyors found the staffing sheet placed by the 200 hall entrance, where people going only to the 100 hall would not see it, and the form listed shift times, census, and counts of CNAs, LPNs, and RNs but omitted the facility name and the total hours worked by direct care staff. The Staffing Coordinator confirmed the posting should include the facility name, census, date, staff type, and hours worked.
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