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
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
676081
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676081
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/24/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
East View Healthcare
15880 Wallisville Road
Houston, TX 77049
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0732
Level of Harm - Potential for
minimal harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
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.
Event ID:
Facility ID:
676081
If continuation sheet
Page 2 of 2