The facility did not complete or display the required daily nurse staffing postings for a census of 75 residents, despite a policy requiring posting of the facility name, date, census, and total number and hours worked by nursing staff at the start of each shift. During a walk-through, surveyors observed that no daily nurse staffing information was posted, and the DON confirmed it was missing and should have been present, with only 1 nurse scheduled for days and 1 for nights. The RNC reported that daily staffing postings had not been done for about two weeks due to turnover in the scheduler position, and the new Scheduling Coordinator stated they were unaware that completing and posting daily nurse staffing information was part of their responsibilities.
Staffing information was not posted as required. Surveyors observed no staffing sheet in the hallways, nurses' station, lobby, entrance, or front office areas, and a whiteboard near the nurses' station only listed staff names without hours or census information. An LPN and the ADM confirmed there was no written staffing sheet posted and that the facility used the whiteboard to list scheduled staff.
The facility did not ensure that the posted Daily Nurse Staffing Form accurately reflected the actual census, as the form consistently displayed a higher number than the true census confirmed by administrative staff. Staff interviews revealed a lack of policy and procedure for completing the form, and the form was not updated daily as required.
The facility did not include the actual hours worked by RNs, LPNs, or nurse aides on its daily posted nurse staffing reports, as required by policy. The posted reports only listed the number of staff per shift and the resident census, and this omission was confirmed by the DON.
The facility did not post required daily nurse staffing information in any accessible location, as confirmed by multiple observations and interviews with facility leadership. Despite having designated frames for postings at nurse's stations, these remained empty throughout the survey, and the required information was not made available to residents, staff, or visitors.
The facility did not post daily nursing staffing information on multiple occasions, as observed on several dates. Interviews with the Administrator and HR confirmed the absence of postings and the lack of a policy for daily staffing information.
The facility did not comply with its policy to post daily nurse staffing information, which includes the facility's name, date, census, and total hours worked by nursing staff. Observations and record reviews showed no postings were made from December 2 to December 3, 2024, and none were completed over the past 30 days. An RN consultant confirmed the postings were not done.
The facility did not post daily nurse staffing information as required by its policy and federal guidelines. Observations showed that the necessary details, including the facility name, date, census, and staff hours, were missing. The DON confirmed the oversight, affecting all 44 residents.
The facility failed to ensure the posting of daily nursing staffing information. Observations revealed that the daily nursing staffing posting was outdated, and the Administrator confirmed the issue, noting that a new scheduler had just been hired.
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