Non-Compliance with Employee Identification Badge Requirements
Penalty
Summary
The facility was found to be non-compliant with the regulation requiring employees to wear identification badges. During an observation and interview with the facility's maintenance assistant, it was noted that Employee E2 did not have an identification badge while on a tour of the facility. This observation took place on January 31, 2025, at 10:00 a.m. Additionally, a licensed nurse, Employee E1, was observed on the third-floor unit without an identification badge on the same day at 1:00 p.m. The facility's policy, revised on January 3, 2022, mandates that employees must wear photo identification tags containing a recent photograph, the employee's first name, title, and the name of the health care facility or employment agency. The absence of identification badges for these employees indicates a failure to adhere to the established standards for identification badges as per Act 110.
Plan Of Correction
1) E1 and E2 will be provided with ID badges. 2) Current employees will be audited to ensure they have an ID badge available to them. 3) Current employees will be re-educated on ensuring they are wearing their name badge at all times and how to obtain one if they don't have one. 4) HR director will do random audits weekly X4 and monthly X2 to ensure staff are wearing their ID badge as necessary. Results will be reviewed monthly in QAPI and determined if further auditing is necessary.