Inspection·October 21, 2024

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 post daily information that included the facility name, current date, total number and actual hours worked by registered nurses, licensed practical or licensed vocational nurses, certified nurse aides directly responsible for resident care per shift and the resident census for 2 days (10/15/2024 to 10/16/2024) of 2 days reviewed. Residents Affected - Many The facility did not post the required current nurse staffing information from 10/15/2024 to 10/16/2024. This failure could place all residents, their families, and facility visitors at risk of not having access to information regarding staffing data and the facility census. Findings included: During an observation on 10/17/2024 at 09:03 a.m., a document labeled [facility name] Daily Staffing of Nursing Personnel dated 10/14/2024, was posted in a vertical sign holder on the nurses' station. The census on the document was noted as 45. During an observation and interview on 10/17/2024 at 09:05 a.m., the MDS Nurse stated she and the ADON were responsible for updating the daily census and nurse staffing document daily and tried to have it posted before 9 o'clock. The MDS Nurse stated she and the ADON covered the responsibility when the other was not available. The MDS Nurse stated she could not find the scheduling book on the morning of 10/17/2024 which was why it was posted after 09:00 a.m. The MDS Nurse stated she was not sure why the posted document said the 14th. The MDS Nurse was observed removing the posted document, labeled [facility name] Daily Staffing of Nursing Personnel and dated 10/14/2024, and replaced it with a document, labeled [facility name] Daily Staffing of Nursing Personnel and dated 10/17/2024, during the conversation. The census on the document dated 10/17/2024 was noted as 47. During an interview on 10/17/2024 at 08:22 p.m., the RCN stated the facility did not have a policy on staffing but did have a checklist that was used for required postings in the facility. During an interview on 10/18/2024 at 11:45 a.m., the RCN stated every facility she worked with was different and the nursing facility company did not have company wide requirement for who was responsible for posting the daily census and nurse staffing posting. The RCN stated she did not feel there would be an impact on the posting being late or missed because there was a sign-in sheet that the facility staff used, and it would let the staff know where their assignment was and identify the other staff scheduled to work. (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 3 Event ID: 676242 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 676242 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962 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)