Failure to Provide Abuse and Neglect Prevention Training
Penalty
Summary
The facility failed to provide mandatory training on abuse and neglect prevention for three out of nine staff members, specifically a Nurse Aide, a Registered Nurse, and a Licensed Practical Nurse. The Nurse Aide, hired on August 15, 2022, did not receive the required training between August 15, 2024, and August 15, 2024. Similarly, the Registered Nurse, hired on October 6, 2022, and the Licensed Practical Nurse, hired on September 6, 2022, also did not receive the necessary training within their respective timeframes in 2023 and 2024. This deficiency was confirmed during an interview with the Nursing Home Administrator on January 24, 2025, who acknowledged the lapse in providing the required training to these staff members.
Plan Of Correction
1. The facility will ensure employees receive abuse, neglect and exploitation 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 abuse, neglect and exploitation 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.