cms_AL: 9
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9 | COOSA VALLEY HEALTHCARE CENTER | 15010 | 260 WEST WALNUT STREET | SYLACAUGA | AL | 35150 | 2017-04-06 | 356 | C | 0 | 1 | 0F3P11 | Based on observations, interview and review of a facility policy titled Nursing Staff Posting Sheet, the facility failed to ensure the daily staffing form for the nursing home was documented with the hours worked on the form for four of four days of the survey. This had the potential to affect all 74 residents who reside in the facility. Findings Include: A review of a facility policy titled Nursing Staff Posting Sheet with a revision date of 6/27/2016 revealed the following: POLICY: . Policy Explanation and Compliance Guidelines: 1. The nursing staffing information will contain the following information: . d. The total number and actual hours worked by the following staff: . 2. The facility will post the nurse staffing total number at the beginning of each shift . On 4/3/17 at 4:55 p.m., the staffing form for the nursing home was observed for the day and the evening shift and did not have the hours worked documented on the form. On 4/4/17 at 8:00 a.m., the staffing form for the nursing home was observed for the day shift and did not have the hours worked documented on the form. On 4/4/17 at 4:30 p.m., the staffing form for the nursing home was observed for the evening shift and did not have the hours worked documented on the form. On 4/5/17 at 8:40 a.m., the staffing form for the nursing home was observed for the day shift and did not have the hours worked documented on the form. On 4/5/17 at 3:25 p.m., the staffing form for the nursing home was observed for the evening shift and did not have the hours worked documented on the form. On 4/6/17 at 8:20 a.m., the staffing form for the nursing home was observed for the day shift and did not have the hours worked documented on the form. On 4/6/17 an interview was conducted with Employee Identifier (EI) #1, Clinical Coordinator. EI #1 was asked who was responsible for filling out the daily staffing form. EI #1 replied, she was responsible to fill it out during the week. EI #1 was asked if she filled out the form for all four days of the survey. EI #1 replied, yes. EI #1 was asked what information was required to be documented on the form according to the regulation. EI #1 replied the census, date, number of registered nurses, number of licensed nurses, number of certified nursing assistants, hours worked and the facility name. EI #1 was asked if the staffing forms for 4/3/17, 4/4/17, 4/5/17 and 4/6/17, were documented correctly according to regulation. EI #1 replied no. EI #1 was asked why was it important to have the information documented accurately. EI #1 replied so they (facility) knew how many people were working. | 2020-09-01 |