The facility failed to keep the nursing staffing matrix and resident census information updated daily for 7 of 18 days reviewed. During an observation, the posted staffing document was 7 days old, and the staffing coordinator acknowledged she was responsible for posting it daily but had not done so consistently. The HR Director and Administrator confirmed the staffing posting was supposed to be updated each day.
Daily nurse staffing postings were not properly displayed in a prominent location and did not include the facility name or the actual total number and actual nursing hours worked. The posting was only on a bulletin board that could be missed from part of the lobby, and staff reported the form showed scheduled rather than actual staffing information; one observation also showed the prior day's posting instead of the current day.
Nurse staffing information was not posted and updated daily at the beginning of each shift. The staffing posting on the main floor was observed to be a day behind, and the Staffing Coordinator said she routinely posted the previous day’s information and updated changes the next day instead of throughout the day when call-outs or other staffing changes occurred. The DON stated the expectation was for the posting to show the current date and reflect staffing changes every shift.
Nurse staffing information was not posted in prominent, readily accessible locations on the living units, and the only observed posting was across from the DON office on the second floor of the Main Building. Staff stated the posting was updated at the beginning of each shift, but unit signs directing visitors and families to the staffing information were not present, and an RN reported not seeing those signs on the units for a long time.
Failure to post daily nursing staff information. Surveyors observed no visible nursing staff postings for residents, resident representatives, or visitors on multiple occasions, and an LPN stated the white board was not used because the DNS said actual staffing no longer had to be posted since it was available online. The DNS stated they believed the postings were online and did not need to be posted after switching to the computer system, and acknowledged it was an oversight.
Daily nurse staffing postings in the lobby were observed with the resident census left blank and the facility name missing. Staff J said she received census information the next day and did not know the postings were supposed to show the current day's census and facility name, while the Divisional President of Operations confirmed the postings should include the facility title and current census.
Incomplete and Outdated Daily Nurse Staffing Postings: The facility failed to post complete and current daily nurse staffing information. Observations showed the Daily Nurse Staffing Form had blank hours-worked fields and, on another occasion, displayed prior-day staffing information instead of the current form. The Scheduler stated the form should include scheduled and actual hours for each nursing category and be current, and the Administrator stated it was expected to be complete and posted at the beginning of the shift.
The facility did not consistently post complete daily nurse staffing information in an accessible location for residents, families, and visitors. Surveyors observed that current staffing information was posted near the reception desk on a weekday, but the postings for the preceding weekend were missing. The staffing coordinator reported being solely responsible for completing and updating the daily staffing information and acknowledged that no one fills out the required information on weekends when they are not present, resulting in missing staffing and census data for those days.
Daily nurse staffing data was not posted in a prominent location and did not include actual hours worked. Observations showed the posting was only visible near the staffing scheduler's office window and not from all common entry areas, and an LPN staffing posting was not updated the same day to reflect current hours worked. The Staffing Coordinator stated the actual hours were being monitored but were not posted, and the Administrator stated the postings should have been visible to all and updated every shift.
Incomplete Nurse Staffing Postings: The facility’s daily nurse staffing postings were not current or accurate and did not include the resident census. Observations found missing census information, missing end-of-shift totals, and weekend postings without census or hours worked. An interim scheduler/CNA stated they updated the sheets after shifts, were unaware changes had to be reflected as they occurred, and that no one updated the postings after hours or on weekends.
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