Skilled Nursing Facility Time and Attendance Tracker Form
Use this form to accurately log staff time, attendance, shift details, and approvals in the skilled nursing facility.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Role/Position
*
Please Select
Registered Nurse
Licensed Practical Nurse
Certified Nursing Assistant
Housekeeping
Maintenance
Other
Date of Shift
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Shift End Time
*
Hour Minutes
AM
PM
AM/PM Option
Type of Shift
*
Day
Evening
Night
Other
Breaks Taken (minutes)
*
Overtime Hours (if any)
Supervisor Approval
*
Approved
Not Approved
Additional Notes
Submit Attendance
Should be Empty: