Failure to Provide Annual Restorative Nursing Training
Penalty
Summary
The facility failed to ensure that seven employees completed the required annual Restorative Nursing Techniques education. This deficiency was identified through a review of facility policy, documents, and staff interviews. The facility's policy, dated 5/23/24, mandates that all new staff receive training during orientation and complete a checklist on both theory and skills material, which is to be repeated annually. However, training records revealed that Nurse Aides and Registered Nurses, specifically Employees E7 through E13, did not have documented training in Restorative Nursing Techniques for the specified annual periods. During an interview, the Nursing Home Administrator confirmed the lack of training for these staff members.
Plan Of Correction
All employees with upcoming evaluations will have necessary required in-service education and training, including restorative, 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.