Skilled Nursing 3.2 Staffing Audit Survey

1. Introduction

The Department will begin doing audits February 14, 2011. To support our advocacy efforts we are asking members who have had an AB 1629 staffing audit to complete the following survey. Thank you for your assistance in this effort.

Question Title

* 1. On what day did your audit occur?

Date of Audit

Date

Question Title

* 2. Was the audit:

Onsite

Desk

Question Title

* 3. The results of the audit:

Agreed with the facility staffing numbers

Disagreed with the facility staffing numbers

Question Title

* 4. If the audit disagreed with the facility staffing numbers, this occurred:

0-10% of the time

10-25% of the time

26-50% of the time

51-75% of the time

76-100% of the time

Question Title

* 5. What were the major reasons for the discrepancy between the audit and the facility staffing numbers?(check all that apply)

The documents used by the auditors all had different numbers and could not be reconciled.

Certain staff that the facility counted in its 3.2 were disallowed by the auditors.

There was disagreement between the auditors and the facility as to the census numbers.

Documents or records were incomplete, illegible or inaccurate.

Hours of overlapping shifts were not counted.

Auditor’s software did not allow for certain hours to be counted.

Employees that provide both nursing and non nursing duties did not have proper documentation.

The patient day was calculated incorrectly.

Break times were not included

Training time not included

Inservice time not included

Some nursing duties were identified as non nursing duties. (please specify in "other" below)

Other (please specify)

Question Title

* 6. Which of the following documents did the auditors use or did the facility send to the Department for a desk review. (check all that apply)

Payroll records

Personnel records

Payroll codes

Assignment sheets

Duty statements

Job Descriptions

Registry Invoices

Census and NHPPD form

Staffing schedules

Nursing staffing assignment and sign in sheet

Time cards

List of direct caregivers

Other (please specify)

Skilled Nursing 3.2 Staffing Audit Survey

1. Introduction

Question Title

* 1. On what day did your audit occur?

Question Title

* 2. Was the audit:

Question Title

* 3. The results of the audit:

Question Title

* 4. If the audit disagreed with the facility staffing numbers, this occurred:

Question Title

* 5. What were the major reasons for the discrepancy between the audit and the facility staffing numbers?(check all that apply)

Question Title

* 6. Which of the following documents did the auditors use or did the facility send to the Department for a desk review. (check all that apply)

Question Title

* 7. If the auditor refused to count an employee that the facility counted in the nursing hours please list his or her job title and major duty below.

Question Title

* 8. Are there any other comments that you would like to make concerning your staffing audit?