Failure to Complete Annual In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to ensure that annual performance evaluations and the required 12 hours of in-service training were completed for three nurse aides, identified as Employees E21, E22, and E23. This deficiency was identified through a review of facility-provided documentation and interviews with staff. The facility's policy, revised in 2024, mandates that nurse aides receive at least 12 hours of in-service training annually based on their employment date. However, the performance evaluations reviewed on April 25, 2025, showed that these nurse aides did not receive the required training. An interview with the Development Coordinator confirmed the absence of the annual in-service training for these employees.
Plan Of Correction
A- Facility contracted with Healthcare Academy platform to provide required trainings for staff. B- Audit completed on all facility CNAs to evaluate hours of training received in past year or since hire date. C- All CNAs educated on requirement of 12 hours of annual training and the use of Healthcare Academy. D- Weekly x 4 then monthly x 2 audits by DON or designee to ensure CNAs meet the required 12 hours of annual education. Results discussed during QAPI meetings.