Failure to Provide Timely Abuse Training to New Hires
Penalty
Summary
The facility failed to provide timely abuse, neglect, and exploitation training to new hires, as required by §483.95(c). Specifically, four out of six newly hired staff members did not receive this training at the time of hire. Employee records revealed that a Licensed Practical Nurse (E26) hired on March 1, 2025, completed the training on April 2, 2025. A Registered Nurse (E27) hired on February 10, 2025, completed the training on March 14, 2025. A Nurse Aide (E28) hired on March 1, 2025, completed the training on April 11, 2025. Another Registered Nurse (E29), hired on January 1, 2025, had no documented evidence of completing the training. An interview with Human Resources staff, Employee E30, confirmed the delay in training for these employees and the lack of training documentation for one Registered Nurse. The facility's policy, revised on June 30, 2023, mandates the implementation of an abuse prohibition program, which includes the training of new employees. However, the facility did not adhere to this policy, resulting in a deficiency in meeting the regulatory requirements for staff training on abuse, neglect, and exploitation.
Plan Of Correction
A - Employee E29 received the appropriate abuse, neglect, and misappropriation training. B - Audit of all employees hired in 2025 education files to ensure the abuse, neglect, and misappropriation training has been completed. Completion of training for anyone not completed. C - Staff Development Coordinator and Human Resources Director educated on ensuring training is completed upon hire. D - Weekly x4 then monthly x2 audits by administrator or designee of new hires to ensure completion of required trainings. PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE