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VALLEY BEHAVIORAL HEALTH SYSTEM
STAFFING AND DELIVERY OF CARE
Tag No.: A0392
Based on review of staffing sheets and interview, it was determined the Facility failed to have a Registered Nurse staffed on each Unit for 3 (07/04/15, 08/15/15 and 08/17/15) of 63 (07/01/15 through 09/01/15) days reviewed. The failed practice did not ensure a Registered Nurse was immediately available in case of an emergency. The failed practice had the potential to affect all patients admitted to the Facility. The findings follow:
A. Review of the staffing sheets from 07/01/15 through 09/01/15 revealed there was no Registered Nurse scheduled to work on the 11P-7A shift for the Geriatric and the Adolescent Subacute Units on 07/04/15 and there was no Registered Nurse scheduled to work on the 11P-7A shift for the Geriatric and Adult Units on 08/15/15 and 08/17/15.
B. In an interview with the Director of Nursing on 09/02/15 at 1225, he stated either the Nursing Supervisor or another Registered Nurse would float between the two Units where a Registered Nurse wasn't scheduled. He confirmed a Registered Nurse was not immediately available on each Unit.