Failure to Provide Required In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to meet the required in-service training hours for nurse aides, as mandated by federal regulations. Specifically, two nurse aides, identified as Employees E11 and E15, did not receive the minimum 12 hours of in-service education within 12 months of their hire date anniversary. Employee E11, hired on March 26, 2023, only completed approximately four hours of in-service education between March 26, 2024, and March 26, 2025. Similarly, Employee E15, hired on April 14, 2014, also completed only about four hours of in-service education between April 14, 2024, and April 14, 2025. The deficiency was confirmed during an interview conducted on April 18, 2025, at approximately 1:00 p.m., where it was acknowledged that the facility did not provide the required annual in-service education for these two nurse aides. The facility's policy, "In-Service Training, All Staff," which was last reviewed on March 14, 2025, indicates that all personnel should receive education and training related to resident care, yet this was not adhered to in the cases of Employees E11 and E15.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Staff Development 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 0947 was not uploaded to the training platform. Staff Development training has since been added to the electronic platform and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 0947 training completed. Corrective action required: Nurse educator to review all nurse aide 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.