Failure to Provide Resident Rights Training to Staff
Penalty
Summary
The facility failed to provide mandatory training on Resident Rights to eight out of ten staff members, as required by §483.95(b). This 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 resident rights and responsibilities. However, documentation revealed that several staff members, including nurse aides, registered nurses, a medical records employee, and a dietary employee, did not have documented training on Resident Rights within the specified time frames. The staff members who lacked the required training included Nurse Aides with hire dates ranging from 1995 to 2023, Registered Nurses hired in 2007 and 2022, a Medical Records employee hired in 2010, and a Dietary employee hired in 2017. During an interview, the Nursing Home Administrator confirmed the facility's failure to provide the necessary training on Resident Rights for these employees. This deficiency is in violation of the facility's policy and the regulatory requirements set forth in 28 Pa Code sections related to staff development and management responsibilities.
Plan Of Correction
All nursing staff were provided with Resident Rights 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. Resident Rights has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 0942 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.