Health inspection·February 24, 2026

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interview, and record review, the facility failed to ensure that the daily staffing was posted and readily accessible for review for 1 of 1 facility reviewed for required postings. - The facility failed to post the facility Direct Care Daily Staffing Numbers on 02/24/26.- The facility failed to post the Direct Care Daily Staffing Numbers in a location visible to all by posting it on the wall in front of the 300 Hall.- The facility failed to include the total hours worked for each type of direct care staff on the Direct Care Daily Staffing Numbers from 01/01/26 to 02/24/26. These failures could affect residents, facility visitors, vendors, and emergency personnel by placing them at risk of not having access to information regarding daily nursing staffing in a timely manner. Findings Include: An observation on 02/24/26 at 10:48 AM revealed, the facility did not post the facility direct care staffing information. The clear placard on the wall on the right side of the building, by the DON's office between the 300 and 400 Hall was empty. In an interview on 02/24/26 at 12:41 PM, the Staffing Coordinator said she was responsible for calculating, updating and posting the direct care staffing numbers daily and she had the responsibility for 1 year. She said the posting was located in a clear placard attached to the wall on the right side of the building, by the DON's office between the 300400 Hall. She said she usually updated the posting around 8 AM in the morning, but she was not aware of the time the posting had to be updated per the facility posting. The Staffing Coordinator said she just comes in every morning and posts it. She said the direct care staffing posting included the date, facility census, the number of each type of staff on each shift and it served to announce the staff to resident ratio for the day. The Staffing Coordinator said she did not know if facility policy required the posting had to be placed in a specific location, but the current location would not be visible to anyone going exclusively to the 100/200 & 300 Halls as it was on route to the 300 Hall and only on one side of the building. The Staffing Coordinator said the total number of hours worked for each staff type per shift was easily calculated by multiplying the total number of each staff type by the hours worked of each shift, but since she started her position she never documented the total hours worked for each direct care staff type, she was not trained to document the total hours worked, and she did not know if the total hours worked was required to be documented per the facility policy or per regulations. The Staffing Coordinator said failure to display the Direct Care Daily Staffing Numbers in a central location, timely and complete information left visitors/employees in the building unaware of the staff to resident ratio on a particular day. She said when she arrived on 02/24/26 she started to assist the CNAs with resident transfers, so she was unable to update it. The Staffing coordinator said she updated the direct care posting minutes before the interview with the surveyor. An observation on 02/24/26 at 12:50 PM revealed, the facility Direct Care Daily Staffing Numbers posted on the wall on the right side of the building in a clear placard by the DON's office between the 300- 400 Hall. The posting read [Facility Name], Date, Resident Census #, and the Day of the Week, columns for Shift Category, Staffing Total, Scheduled, Hours Worked for Licensed and Unlicensed Staff. The Residents Affected - Many Page 1 of 2 676081 676081 02/24/2026 East View Healthcare 15880 Wallisville Road Houston, TX 77049

F 0732 Level of Harm - Potential for minimal harm Residents Affected - Many shift categories were: for licensed staff RN (6AM-6PM, 6PM-6AM) LVN (6AM-6PM, 6PM-6AM), Staffing Coordinator (no shift time documented), DON (no shift time documented), ADON (no shift time documented), MDS Coordinator (no shift time documented); and for Un-licensed Staff- CMA (6AM- 2 PM, 2PM- 10 PM) CNA ( 6AM-2PM, 2PM-10PM, 10 PM- 6AM). The columns with the Staffing Total documented the number of staff but the scheduled and hours worked columns were blank. Record review of the facility Direct Care Daily Staffing Numbers from 01/01/26 to 02/23/26 revealed, The columns with the Staffing Total documented the number of staff but the Scheduled and Hours Worked columns were all blank. Record review of the facility policy titled Posting Direct Care Daily Staffing Numbers revised 08/2006 revealed, Policy Statement: Our facility will post, on a daily basis for each shift, the number of nursing personnel responsible for providing direct care to residents. Policy Interpretation and Implementation: 1. Within two (2) hours of the beginning of each shift, the number of Licensed Nurses (RNs, LPNs, and LVNs) and the number of unlicensed nursing personnel (CNAs) directly responsible for resident care will be posted in a prominent location (accessible to residents and visitors) and in a clear and readable format. 3.Shift staffing information shall be recorded on the Nursing Staff Directly Responsible for Resident Care form for each shift. The information recorded on the form shall include: 1. The name of the facility. 2. The date for which the information is posted. 3. The shift for which the information is posted. 4. Type (RN, LPN, LVN, or CNA) and category (licensed or non-licensed) of nursing staff working during that shift. 5.The actual time worked during that shift for each category and type of nursing staff. 6. Total number of licensed and non-licensed nursing staff working for the posted shift. Completing the Form: 5. Within two (2) hours of the beginning of each shift, the staffing coordinate shall compute the number of direct care staff and complete the Nursing Staff Directly Responsible for Resident Care form. The shift supervisor shall date the form, record the census and post the staffing information in the location(s) designated by the Administrator. Maintaining 24 Hours of Staffing Information in One Location: 7. The previous shift's forms shall be maintained with the current shift form for a total of 24 hours of staffing information in a single location. Once a form is removed, it shall be forwarded to the Medical Records' office and filed as a permanent record. 676081 Page 2 of 2