Deficiency in Required In-Service Training for Nurse Aide
Penalty
Summary
The facility failed to ensure that nurse aides received the required 12 hours of in-service education per year, as mandated by regulations. Specifically, Employee E9, a nurse aide hired on June 20, 2019, did not complete the necessary annual in-service training hours between February 11, 2024, and February 10, 2025. During this period, Employee E9 only completed two courses related to hand hygiene and personal protective equipment. This deficiency was confirmed through a review of personnel records and an interview with the Nursing Home Administrator, who acknowledged the shortfall in meeting the training requirements.
Plan Of Correction
1. Employee E9 completed their 12 hours annual inservice education. 2. NPE or designee to conduct an initial audit of all CNA's to ensure 12 hour annual in-servicing is in compliance. 3. NPE will be re-educated by the DON on the importance of ensuring all Nurse Aides completed at least 12 hours of inservice education annually. 4. NPE will conduct random monthly audits to ensure all Nurse Aides completed at least 12 hours of inservice education annually X 3 months. 5. DON or designee to review the results of these audits at the monthly QAPI meeting x 3 months.