Failure to Provide Timely Training on Abuse, Neglect, and Exploitation
Penalty
Summary
The facility failed to provide mandatory training on Abuse, Neglect, and Exploitation to a newly hired nurse aide, Employee E3, on the date of her orientation as required by the facility's policy. The policy, last reviewed on January 3, 2024, mandates that all employees receive education on these topics upon orientation, annually, and as needed. Employee E3 was hired on October 2, 2024, and began working on the floor on October 7, 2024, after completing her orientation. However, her personnel record indicated that she did not receive the required training until December 6, 2024, two months after her hire date. This deficiency was confirmed by the Nursing Home Administrator during an interview on January 10, 2025.
Plan Of Correction
Nurse Aide (e-3) completed the educational material on abuse, neglect and exploitation. All new employees will be educated by Human Resources or the In-Service Director or designee during orientation on abuse, neglect and exploitation prior to starting their employment in the clinical areas. Human Resources and the In-Service Director were re-educated on the importance of completing all educational material while in orientation and prior to their employment in the clinical areas. The administrator or designee will review all employee training records after orientation but prior to the employee entering the clinical areas to ensure that abuse, neglect and exploitation education is complete. Audits will be conducted for each orientation class for two months. Any deficient practice will be immediately corrected. All data will be forwarded to the QAPI committee and the need for additional monitoring will be determined by the committee.