Failure to Conduct Mandatory Elder Abuse Training for New Hire
Penalty
Summary
The facility failed to ensure that Elder Abuse and Resident Rights training was completed upon hire for one of the employees, specifically Employee E4, who was a cook. The personnel file review revealed that Employee E4 was hired on December 5, 2024, but there was no documented evidence of the completion of the required training. This deficiency was confirmed during an interview with the Business Office/HR representative, Employee E5, who acknowledged the incomplete training for Employee E4. Additionally, the report highlights a separate issue where a Licensed Practical Nurse, Employee E7, confirmed that a resident's bed was positioned against the wall. This observation is linked to the facility's compliance with state regulations regarding the use of restraints and nursing services. However, the report primarily focuses on the failure to conduct mandatory training for new hires, which is a critical component of the facility's policies to prevent abuse, neglect, and exploitation of residents.
Plan Of Correction
1. Abuse In-Service training was provided to E4 who signed the acknowledgement form that it was provided and answered the questions. 2. Review all new hires back to Jan 1, 2025 to ensure that all staff hired since Jan 1 have had abuse training, questions answered and signed education on file. 3. Education provided to HR and all Department Heads that Abuse Training must be completed upon hire, and that in-service sheet must be signed. 4. Random audits by the Administrator/designee of new hires to ensure that Abuse in service training has been completed and in-service sheet has been signed once a week for one month, twice a week for one month, and once a month for one month. The findings of the audits will be brought to the Quality monthly Quality Assurance Improvement Committee (QAPI) meeting monthly for a period of three months. Any revisions to the audit plan will be reviewed and implemented with coordination of the interdisciplinary team at QAPI Committee meeting.