Inadequate In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to meet the required in-service training hours for nurse aides, as mandated by §483.95(g). Specifically, four nurse aides, identified as Employees E6, E7, E8, and E9, did not receive the minimum 12 hours of in-service education within 12 months of their hire date anniversary. Employee E6, hired on 9/16/21, completed only 10.25 hours of training between 9/16/23 and 9/16/24. Employee E7, hired on 10/4/12, completed 9.75 hours between 10/4/23 and 10/4/24. Employee E8, hired on 10/14/13, completed 10.00 hours between 10/14/23 and 10/14/24. Employee E9, hired on 8/15/22, completed only 6.75 hours between 8/15/23 and 8/15/24. During an interview on 1/24/25, the Nursing Home Administrator confirmed the facility's failure to provide the required annual in-service education for these nurse aides. This deficiency was identified through a review of staff education records and interviews, indicating a lapse in the facility's compliance with the regulatory requirements for staff development and training.
Plan Of Correction
1. The facility will ensure certified nursing assistants receive 12 hours of in-service training on a yearly basis. 2. A full house employee file audit will be conducted to identify the training needs of each nursing assistant to ensure ongoing yearly training. 3. The Human Resources Director or designee will ensure that each nursing assistant of the facility receives 12 hours of in-service 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.