NY State Tag

Deficiency in CNA In-Service Training Compliance

Canterbury WoodsWilliamsville, New York Survey Completed on 01-08-2025

Summary

The facility failed to ensure that Certified Nurse Aides (CNAs) attended the required in-service education to maintain their competence, as mandated by the facility's policy and procedure. Specifically, two CNAs did not complete the minimum required six hours of in-service education within a six-month period. CNA #2 completed only 5.5 contact hours of training and attended four staff meetings, each lasting half an hour, throughout the year 2024. CNA #3 completed only 3.0 contact hours of training and had been on leave for about two months, with their last work date recorded as November 9, 2024. Interviews with facility staff revealed a lack of awareness and enforcement of the training requirements. CNA #2 was unsure of the annual training requirements and relied on passcodes from the Staffing Coordinator to access training modules. The Human Resources Director stated that training compliance was tracked by the Administrator, who would address non-compliance issues. The Staffing Coordinator mentioned scheduling training time for CNAs with outstanding trainings. The Administrator confirmed that CNAs were required to complete a minimum of 12 hours of training annually, with 18-20 hours assigned through a web-based program. Both CNAs were identified as long-term employees, and disciplinary actions were suggested for their non-compliance with training requirements.

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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