Failure to Provide Resident Rights Training
Penalty
Summary
The facility failed to provide mandatory training on resident rights to eight out of nine staff members, as required by federal regulations. 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 Maintenance employee, and an LPN. Each of these employees had specific hire dates, and the records showed that they did not receive resident rights training within the required timeframe after their hire dates. During an interview, the Nursing Home Administrator confirmed the lack of training for these staff members. The deficiency was noted under the federal regulation §483.95(b), which mandates that facilities ensure staff are educated on resident rights and facility responsibilities. Additionally, the report cites violations of state codes related to the responsibility of the licensee, management, and staff development, further emphasizing the facility's failure to comply with training requirements.
Plan Of Correction
1. The facility will ensure employees receive resident rights 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 resident rights 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.