Failure to Provide Required Abuse and Neglect Training
Penalty
Summary
The facility failed to provide mandatory training on the Prevention of Abuse and Neglect for one of its staff members, identified as Employee E18. This deficiency was discovered through a review of the facility's policy on in-service training and personnel training records. The policy, last reviewed on March 14, 2025, mandates that all staff receive education on various topics, including preventing abuse, neglect, exploitation, and misappropriation of resident property. However, it was found that Employee E18, who was hired on February 9, 2009, did not receive the required in-service education on Prevention of Abuse and Neglect between February 9, 2024, and February 9, 2025. During an interview conducted on April 18, 2025, the Nursing Home Administrator confirmed the oversight, acknowledging that the facility did not provide the necessary training to Employee E18. This lapse in training is a violation of the facility's policy and the regulatory requirements set forth in §483.95(c), which stipulate that all staff must be educated on activities that constitute abuse, neglect, and exploitation, as well as procedures for reporting such incidents. The deficiency highlights a gap in the facility's compliance with training requirements, potentially impacting the quality of care and safety of residents.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Abuse/Neglect and Exploitation on the electronic platform. How to identify residents who can be affected: All employees can be affected. Prevention of further occurrence: Abuse and Neglect is part of annual training on the electronic platform. Nurse Educator has identified employees who need to complete Abuse/Neglect education. Employees have been given 30 days to complete training. By June 6, 2025, all employees will have 0943 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.