Failure to Ensure Timely CNA Certification for Nurse Aides
Summary
The facility failed to ensure that eight nurse aides completed a certified nurse aide (CNA) training program within four months of employment, as required by their policy. The policy mandates that all nursing assistants must complete the basic course and be certified within four months of employment. However, the review of the facility's records and the state agency CNA registry website revealed that none of the eight sampled nurse aides were certified within the stipulated time frame, with some aides having been employed for several years without certification. Observations and interviews further highlighted the deficiency. Nurse aides were observed providing direct care to residents despite not being certified. Interviews with the nurse aides revealed that they had attended CNA classes multiple times, but due to various reasons, such as the facility not setting up certification dates or instructors becoming unavailable, they were unable to complete the certification process. This situation persisted for several years for some aides, indicating a systemic issue in the facility's training and certification process. The facility's administrator acknowledged the issue, stating that nurse aides should be certified in a timely manner. However, the report does not mention any corrective actions or follow-up measures taken to address the deficiency at the time of the survey. The lack of certified nurse aides potentially compromises the quality of care provided to residents, as these aides are performing duties without the necessary certification and training.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
A nursing assistant who had completed CNA coursework but had not passed the state certification test was allowed to work as a CNA for longer than the four months permitted for uncertified aides. Human Resources confirmed the staff member continued working past the allowed period, resulting in non-compliance with staff qualification requirements and potentially affecting all residents.
The facility failed to ensure nursing assistants received required training before providing direct care, affecting all 46 residents. A nurse aide in training performed duties without formal training, and several nursing assistants were hired without being on the nurse aide registry or enrolled in training programs. The facility believed they had four months to enroll aides in classes, but some worked longer without enrollment.
Unqualified Nursing Assistant Worked Beyond Permitted Timeframe
Penalty
Summary
The facility failed to ensure that a nursing assistant was properly qualified to provide resident care, as required by regulations. Record review showed that a nursing assistant was hired after completing a CNA course but had not passed the state certification test. Despite this, the staff member worked as a CNA for a period exceeding the four months allowed for individuals who have not yet obtained certification. Human Resources confirmed that the nursing assistant continued to work past the permitted timeframe without having passed the state test, resulting in non-compliance with staffing qualification requirements. This issue had the potential to affect all 142 residents in the facility, as the staff member was involved in direct resident care.
Failure to Ensure Proper Training for Nursing Assistants
Penalty
Summary
The facility failed to ensure that nursing assistants received the required training before providing direct care to residents, potentially affecting all 46 residents. Employee #145, a nurse aide in training, had not started formal training classes but was performing duties equivalent to a state-tested nursing assistant, including helping with meals, providing showers, and incontinence care. Despite having previous experience in a group home, Employee #145 had not received dementia training or training on handling aggressive behaviors. The Human Resource employee confirmed that Employee #145 was not enrolled in classes and was functioning as a state-tested nursing assistant based on the Administrator's instructions. Additionally, the facility hired several nursing assistants who were not on the nurse aide registry at the time of hire and were not enrolled in nurse aide registry classes or nursing school. These employees, including STNA #155, STNA #120, and STNA #110, had their skills checked off on orientation checklists despite not being registered or enrolled in training programs. The Human Resource employee verified that the facility believed they had four months to enroll aides in classes, and some employees had worked longer than four months without being enrolled in the NATCEP program, as the Administrator decided the timing of enrollment.
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