Failure to Provide Fire Safety Training to Nurse Aides
Penalty
Summary
The facility failed to provide mandatory fire safety training to three out of five nurse aides, as required by 42 CFR 483.90. The deficiency was identified through a review of the facility's policy on in-service training, personnel training records, and staff interviews. Specifically, Nurse Aide Employee E11, hired on 3/26/23, did not receive fire safety training between 3/26/24 and 3/26/25. Similarly, Nurse Aide Employee E13, hired on 3/14/05, and Nurse Aide Employee E15, hired on 4/14/14, also lacked documented fire safety training for the period between 3/14/24 and 3/14/25, and 4/14/24 and 4/14/25, respectively. The Nursing Home Administrator confirmed the absence of this essential training during an interview conducted on 4/18/25.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Fire Prevention and Safety 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 1580 was not uploaded to the training platform. Fire Prevention and Safety has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 1580 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.