Failure to Provide Effective Communication Training
Penalty
Summary
The facility failed to provide mandatory training on effective communication for seven out of eight direct care staff members, as required by §483.95(a). The deficiency was identified through a review of facility policy, personnel in-service training records, and staff interviews. The facility's policy, last reviewed on March 14, 2025, mandates that all personnel receive education and training related to resident care, including effective communication with residents and family. However, documentation revealed that Nurse Aides E11, E12, E13, E14, and E15, as well as Registered Nurses E16 and E19, did not receive the required training within the specified time frames after their hire dates. During an interview on April 18, 2025, the Nursing Home Administrator confirmed the lack of effective communication training for these staff members. This failure to provide the necessary training is a violation of the facility's policy and regulatory requirements, as outlined in 28 Pa Code sections 201.14(a), 201.18(b)(1), and 201.20(a)(c), which pertain to the responsibility of the licensee, management, and staff development, respectively.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with communication training on the electronic platform. How to identify residents who can be affected: All employees can be affected. Prevention of further occurrence: Nurse educator reviewed training platform and discovered that 0941 was not uploaded to the training platform. Effective communication has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 0941 training completed. Corrective action required: Nurse educator to review all staff training compliance monthly and report to DON delinquent staff. DON will pursue corrective action and discipline for employees who are non-compliant. QA Program: Nurse educator will report on staff compliance of staff education monthly at QAPI.