§483.35(g) Nurse Staffing Information.
§483.35(g)(1) Data requirements. The facility must post the following information on a daily basis:
(i) Facility name.
(ii) The current date.
(iii) The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift:
(A) Registered nurses.
(B) Licensed practical nurses or licensed vocational nurses (as defined under State law).
(C) Certified nurse aides.
(iv) Resident census.
§483.35(g)(2) Posting requirements.
(i) The facility must post the nurse staffing data specified in paragraph (g)(1) of this section on a daily basis at the beginning of each shift.
(ii) Data must be posted as follows:
(A) Clear and readable format.
(B) In a prominent place readily accessible to residents and visitors.
§483.35(g)(3) Public access to posted nurse staffing data. The facility must, upon oral or written request, make nurse staffing data available to the public for review at a cost not to exceed the community standard.
§483.35(g)(4) Facility data retention requirements. The facility must maintain the posted daily nurse staffing data for a minimum of 18 months, or as required by State law, whichever is greater.
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Observations:
Based on observation and staff interview, it was determined that the facility failed to post accurate and current nurse staffing information.
Findings include:
During a tour of the facility on February 27, 2024, at 9:15 a.m., the staffing information that was posted in the lobby was dated for January 23, 2024.
During an interview on February 27, 2024, at 2:00 p.m., the Director of Nursing confirmed that incorrect staffing data was posted.
| | Plan of Correction - To be completed: 03/13/2024
The facility has posted the required nursing staffing information.
The facility's Staffing Coordinator will be educated to post daily the nursing staffing information which includes; the facility name, the current date, the total number and actual hours worked of Registered Nurses, Licensed Practical Nurses and Certified Nurses Aides along with the facility census.
The Director of Nursing or designee will perform audits weekly times 4 then monthly times three.
Results of the audits will be reviewed by QAPI Committee for recommendations.
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