Failure to Provide Emergency Preparedness Training
Penalty
Summary
The facility failed to provide required training on emergency preparedness for two nurse aides, identified as Employee E11 and Employee E15. According to the facility's policy titled 'In-Service Training, All Staff,' which was most recently reviewed on March 14, 2025, all personnel are required to receive education and training related to resident care, including emergency preparedness. However, a review of the facility's documents and training records revealed that Employee E11, hired on March 26, 2023, did not receive emergency preparedness training between March 26, 2024, and March 26, 2025. Similarly, Employee E15, hired on April 14, 2014, did not receive the required training between April 14, 2024, and April 14, 2025. During an interview conducted on April 18, 2025, the Nursing Home Administrator confirmed the facility's failure to provide the necessary emergency preparedness training for these two nurse aides. This deficiency was identified based on the review of facility policy, personnel in-service training records, and staff interviews.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Emergency Preparedness 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 1570 was not uploaded to the training platform. Emergency Preparedness has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 1570 training courses 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.