Infection Control Training Deficiency
Penalty
Summary
The facility failed to provide mandatory infection control training to seven out of ten staff members, as required by their infection prevention and control program. The facility's policy, "In-Service Training, All Staff," mandates that all personnel receive education and training related to resident care, including infection control. However, a review of the facility's training records revealed that several employees, including nurse aides, a registered nurse, a medical records employee, and a therapy employee, did not have documented infection control training within the specified time frames after their hire dates. During an interview, the Nursing Home Administrator confirmed the lack of infection control training for these staff members. The deficiency was identified based on the review of facility policy, personnel in-service training records, and staff interviews. The failure to provide this essential training is a violation of the facility's infection prevention and control program standards, as well as state regulations regarding staff development and management responsibilities.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Infection Control 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 the training platform and discovered that 0945 was not uploaded to the training platform. Infection Control training has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 0945 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.