Incomplete Nurse Aide In-Service Training Documentation
Penalty
Summary
The facility failed to ensure that nurse aides completed the required 12-hour mandatory in-service training for the year. A review of the facility's employee in-service training records revealed incomplete documentation of the mandatory training for nurse aides from January 2024 through January 2025. During an interview, the Nursing Home Administrator confirmed the absence of evidence for the completion of the required in-service trainings. This deficiency indicates non-compliance with the federal regulation §483.95(g) concerning the continuing competence of nurse aides, including training in dementia management, resident abuse prevention, and care for cognitively impaired individuals.
Plan Of Correction
Review of Nurse Aides personnel files was conducted to ensure that they have 12 hour in servicing. All nurse aides that did not have evidence of completing the 12 hour in-service will receive 12 hour in-service training by the Director of Nursing/Designee and completed by 3/28/25. Audit will be conducted weekly to ensure nurse aides requiring the 12-hour training within the last year have received the training for 4 weeks, then monthly audit will be of 5 nurse aides per week by the administrator/designee. Findings will be reported to the Quality Assurance Performance Improvement committee for review and recommendations.