Failure to Provide Abuse and Neglect Training
Penalty
Summary
The facility failed to provide mandatory training on resident protection from abuse and neglect for one of its staff members, specifically Nurse Aide Employee E8. According to the facility's policy, all new staff are required to undergo training during the orientation process, which includes a checklist on both theory and skills material. This training is supposed to be repeated annually. However, a review of the facility's documents and training records revealed that Employee E8, who was hired on April 27, 2017, did not receive the required abuse and neglect prevention in-service education between April 27, 2023, and April 27, 2024. During an interview, the Staff Development Coordinator, Employee E14, confirmed the oversight, acknowledging that the facility did not provide the necessary training for one of the seven staff members reviewed. This deficiency is a violation of the facility's policy on the prohibition and prevention of resident abuse, neglect, exploitation, mistreatment, or misappropriation of resident property, which mandates that all employees receive abuse training during general orientation and annually thereafter.
Plan Of Correction
All employees with upcoming evaluations will have necessary required in-service education and training, including abuse and neglect, for a total of 12 hours by their evaluation date. Employee training will be monitored, and each employee's status of education completion will be pulled at least each quarter to ensure completion in a timely manner prior to the evaluation date, by the staff development coordinator and Director of Nursing. Education to all nursing staff will be given by Staff Development or designee. QAPI on staff education training compliance will be done weekly for one month, bi-weekly for one month, and monthly thereafter. All results will be reported to the QA Committee.