794 |
COLONIAL HEALTH CARE |
205113 |
36 WORKMAN TERRACE STREET |
LINCOLN |
ME |
4457 |
2017-07-13 |
354 |
B |
1 |
1 |
OVE811 |
> Based on interviews, review of the facility's Licensed Nurse Schedule and timecards, the facility failed to ensure that a Registered Nurse was on duty daily, at least 8 consecutive hours, for 26 of 34 weekend shifts reviewed over a 4 month period in (YEAR) (March, April, May, June). Findings: On 7/10/17 at 11:26 a.m., during the entrance conference with a surveyor, the Administrator stated the facility had no nursing staffing waivers. 1. Review of the Licensed Nurse Schedule and timecards for weekend shifts for the month of (MONTH) revealed the following weekend dates utilized no Registered Nurse services for 8 consecutive hours: 3/4/17, 3/11/17, 3/12/17, 3/18/17, and 3/19/17. 2. Review of the Licensed Nurse Schedule and timecards for weekend shifts for the month of (MONTH) revealed the following weekend dates utilized no Registered Nurse services for 8 consecutive hours: 4/1/17, 4/2/17, 4/8/17, 4/9/17, 4/15/17, 4/16/17, 4/22/17, 4/23/17, and 4/29/17. 3. Review of the Licensed Nurse Schedule and timecards for weekend shifts for the month of (MONTH) revealed the following weekend dates utilized no Registered Nurse services for 8 consecutive hours: 5/6/17, 5/13/17, 5/14/17, 5/27/17, and 5/28/17. 4. Review of the Licensed Nurse Schedule and timecards for weekend shifts for the month of (MONTH) revealed the following weekend dates utilized no Registered Nurse services for 8 consecutive hours: 6/3/17, 6/4/17, 6/10/17, 6/11/17, 6/17/17, 6/18/17, and 6/24/17. On 7/12/17 at 10:50 a.m., during an interview with three surveyors, the Administrator confirmed there was not a Registered Nurse on duty for many of the weekend shifts because they were unable to find a Registered Nurse to work as staffing agencies will only provide the facility with a Licensed Practical Nurse. The Administrator stated that the Director of Nursing is at home on the weekends and has her computer with her in case there are any issues. |
2020-09-01 |