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P1550

Failure to Provide Accident Prevention Training

Pittsburgh, Pennsylvania Survey Completed on 04-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide necessary training on accident prevention for three out of five nurse aides, as required by their policy. The policy, last reviewed on March 14, 2025, mandates that all personnel receive education and training related to resident care. However, a review of the facility's documents and training records revealed that Nurse Aide Employee E11, hired on March 26, 2023, did not receive accident prevention in-service education between March 26, 2024, and March 26, 2025. Similarly, Nurse Aide Employee E13, hired on March 8, 2022, lacked this training between March 8, 2024, and March 8, 2025. Additionally, Nurse Aide Employee E15, hired on April 14, 2014, did not receive the required training between April 14, 2024, and April 14, 2025. This deficiency was confirmed by the Nursing Home Administrator during an interview on April 18, 2025.

Plan Of Correction

Immediate Intervention: All nursing staff were provided with Accident Prevention 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 1550 was not uploaded to the training platform. Accident Prevention has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 1550 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.

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