Missing Job Descriptions in Personnel Files
Penalty
Summary
The facility failed to ensure that personnel records included a copy of the employee's job description for four out of five personnel files reviewed. This deficiency was identified during a review of employee personnel records and staff interviews. Specifically, the personnel files of a Licensed Practical Nurse and three Registered Nurses did not contain documented evidence of their job descriptions. The Regional Human Resource Employee was unable to provide the job descriptions upon request. The Nursing Home Administrator confirmed the absence of job descriptions in the personnel records during an interview.
Plan Of Correction
1. Registered Nurse Employee E4 no longer works at the facility. Job descriptions will be added to Licensed Practical Nurse Employee 1, Registered Nurse Employee 5, and Registered Nurse E6's employee file. 2. The Human Resource Director/designee will audit new hire employee files from the past three months to ensure the employee's job description is in the file. 3. The Human Resource Director will be reeducated by the Nursing Home Administrator/designee on the ensuring a job description is in the employee file. 4. The Nursing Home Administrator/designee will audit new hires weekly for three weeks and monthly for three months to ensure files have an employee job description. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations.