Failure to Provide Mandatory Communication Training
Penalty
Summary
The facility failed to provide mandatory training on effective communication for eight out of nine staff members, as required by §483.95(a). The deficiency was identified through a review of facility personnel in-service training records and staff interviews. The staff members who did not receive the required training included Nurse Aides, a Central Supply Employee, an Activities Assistant, a Registered Nurse, and a Licensed Practical Nurse. Each of these employees had specific hire dates, and the review showed that they did not have documented training on effective communication within the specified time frames after their hire dates. During an interview, the Nursing Home Administrator confirmed the lack of effective communication training for these staff members. The deficiency was noted under the Pennsylvania Code sections related to the responsibility of the licensee, management, and staff development. The absence of this training indicates a failure to comply with the mandatory training requirements, which are crucial for ensuring effective communication among direct care staff in the facility.
Plan Of Correction
1. The facility will ensure employees receive communication training on a yearly basis. 2. A full house employee file audit will be conducted to identify the training needs of each employee to ensure ongoing yearly training. 3. The Human Resources Director or designee will ensure that each employee of the facility receives communication training on a yearly basis by reviewing their training courses prior to their performance appraisal due date. If the training has been inadvertently missed, the employee will be trained on the missed course prior to the performance appraisal being completed. 4. The Administrator or designee will review 5 employee files due for performance review each month to ensure yearly training is completed weekly x4 weeks. The QAPI committee will determine the need for further audits.