Deficiency in Required In-Service Training for Nurse Aide
Penalty
Summary
The facility failed to ensure that required in-service training was provided for one nurse aide, identified as Employee E14, out of nine nurse aides reviewed. The facility's policy, revised in August 2022, mandates that in-service training should be based on the outcome of the annual performance review and should not be less than 12 hours per employment year. However, during a review of the regular in-service education records on February 5, 2025, the facility was unable to provide documentation of completed in-service education for Employee E14. This deficiency was identified through a review of facility-provided documentation and staff interviews.
Plan Of Correction
Employee 14 education reviewed and 12 hours have been completed. Current Nurse aide education records were reviewed to ensure completion of yearly training requirements. Administrator educated Staff Development Nurse on 12 hour training requirement yearly for CNA's and need to address any weaknesses identified in yearly evaluation. Staff Development Nurse will randomly audit current CNA in-services monthly x 3 to ensure that 12 hours of education yearly is completed and that any weaknesses identified in yearly evaluation are addressed and report findings to the QAPI committee meeting monthly.