Failure to Train Staff on Emergency Evacuation Procedures
Penalty
Summary
The facility failed to ensure that there was a written plan for the protection and evacuation of all residents in the event of an emergency, as required by regulatory standards. During an interview, nursing staff on the second floor reported that they had not received periodic training on procedures for removing residents from elevated floors to the ground level if elevators were not operable or during a fire situation. This lack of training was confirmed by the Maintenance Director at the time of observation. The deficiency was identified through direct questioning of staff and was based on their statements regarding the absence of such training since their employment at the facility. No specific residents or their medical conditions were mentioned in the report, and the findings were based solely on staff interviews and confirmation by facility leadership.
Plan Of Correction
K711 - Evacuation and Relocation Plan. 1. The facility failed to ensure there is a written plan for the protection of all residents and for their evacuation in the event of an emergency, employees are periodically instructed in their duties under the plan as required by 19.7.1.1 through 19.7.1.3, 19.7.2.1.2, 19.7.2.2, 19.7.2.3. a. The facility will schedule annual education and drill for the evacuation of residents from elevated floors to the ground level. 2. The Administrator/safety committee will be educated on the importance of routinely educating and scheduling drills of the evacuation of residents from elevated levels to the ground. 3. To ensure compliance is maintained, the Administrator will complete audits monthly to ensure staff are educated on the evacuation of residents from elevated levels. Findings will be reported to the QAPI committee. 4. The facility Administrator will be responsible for assuring substantial compliance is attained through this plan of correction by 5/13/2025 and for sustained compliance thereafter.