Health inspection·August 23, 2024

F 0732 Post nurse staffing information every day. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure staffing information of the actual hours worked by licensed and unlicensed nursing staffing directly responsible for resident care per shift was posted daily on 8/23/2024. Residents Affected - Few This deficient practice had the potential to keep residents and visitors unaware of the total number of staff and the actual hours worked by the staff in the facility. Findings: During an observation on 8/23/2024 at 9:05 a.m., observed posted in nurses' station 2 and subsequently at nurses' station 3, an untitled facility document indicating the facility's name dated 8/23/2024. The document posted indicated the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: 1. Night Shift (11:00 p.m. to 7:00 a.m.) a. Registered Nurses (RNs) - one RN, eight (8), scheduled total hours of work, b. Licensed Vocational Nurses (LVNs) - three LVNs, 24 scheduled total hours of work c. Certified Nursing Assistants (CNAs) - nine CNAs, 72 scheduled total hours of work 2. Morning (AM) Shift (7:00 a.m. to 3:00 p.m.) a. RNs - two RNs, 16 scheduled total hours of work Page 1 of 3 056337 056337 08/23/2024 Panorama Gardens Nursing and Rehabilitation Center 9541 Van Nuys Blvd. Panorama City, CA 91402

F 0732 b. Level of Harm - Minimal harm or potential for actual harm LVNs - 7 LVNs, 56 scheduled total hours of work c. Residents Affected - Few CNAs - 21 CNAs, 168 scheduled total hours of work 3. Afternoon (PM) Shift (3:00 p.m. to 11:00 p.m.) a. RNs - one RN, eight (8) scheduled total hours of work, b. LVNs - four (4) LVNs, 32 scheduled total hours of work c. CNAs - 13 CNAs, 104 scheduled total hours of work However, the total actual hours worked by each category of licensed and unlicensed nursing staff directly responsible for resident care per shift on 8/23/2024 was left blank. During an interview on 8/23/2024 at 11:39 a.m. with Payroll (PR), PR stated that the Director of Staff Development (DSD) is responsible in posting the projected hours for the specific date for all shifts. The PR stated that she (PR) calculates actual hours worked based on the hours worked and the current census of the specific day and shift. The PR continued to state that the PR will calculate the actual hours for 7:00 a.m. to 3:00 p.m. shift and 3:00 p.m. to 11:00 p.m. shift because she (PR) is still in the facility. The PR stated that the actual hours for the 11:00 p.m. to 7:00 a.m. are calculated by the Registered Nurse Supervisor for the night shift and posts the actual hours. The PR continued to state that the nursing hours (projected and actual) are posted next to the staff time clock, in nurses' station 2, and nurses' station 3. During a concurrent observation, interview, and record review on 8/23/2024 at 11:41 a.m. with PR, observed next to the staff time clock an untitled facility document indicating the facility's name with a date of 8/23/2024 and staffing information hours. The PR reviewed the facility document and confirmed the findings. The PR stated that she arrived to work late today (8/23/2024) which is why she was unable to calculate the total actual hours worked by each category of licensed and unlicensed nursing staff directly responsible for resident care per shift. During an interview on 8/23/2024 at 2:02 p.m., with the Director of Nursing (DON), the DON stated that projected hours are posted daily by the DSD or the Scheduler. The PR will then verify and calculate the actual hours worked and then post the staffing information. The DON stated that nursing staffing information postings are done daily because it is important to post nursing hours to ensure that the facility is providing the sufficient number of staff (licensed and unlicensed) to care for the 056337 Page 2 of 3 056337 08/23/2024 Panorama Gardens Nursing and Rehabilitation Center 9541 Van Nuys Blvd. Panorama City, CA 91402

F 0732 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few residents based on the facility's census and to inform the facility visitors, residents, and employees of the total number of staff and actual hours worked by the staff in the facility. A review of the facility's policy titled Staffing Number, Posting, last reviewed on 3/11/2024, indicated it is the policy of the facility to post staffing numbers. Post the number of staff working who are directly responsible for resident care. 056337 Page 3 of 3