Deficiency in Required In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to ensure that all nurse aide staff received the required minimum of twelve hours of in-service education training each year. This deficiency was identified for two out of five nurse aides, specifically Employees E7 and E8. Employee E7, who was hired on March 12, 2020, only received 8.5 hours of in-service training between March 12, 2023, and March 12, 2024. Similarly, Employee E8, hired on April 27, 2017, received only 5.25 hours of in-service training between April 28, 2023, and April 27, 2024. The facility's policy, "Facility Assessment: Staff Training and Competencies," dated May 23, 2024, requires that all new staff are trained during the orientation process and annually thereafter. However, the review of facility documents and training records revealed that the required training hours were not met for the mentioned employees. This was confirmed during an interview with the Staff Development Coordinator, Employee E14, who acknowledged the failure to meet the training requirements for the nurse aides.
Plan Of Correction
All CNA's with upcoming evaluations will have necessary required in-service education and training, for total of 12 hours by their evaluation date. CNA training will be monitored by staff development and Director of Nursing for education completion. Education status will be pulled, at least each quarter, to ensure completion in a timely manner, prior to evaluation date. Education to all CNA's 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.