Failure to Train All Staff on QAPI Program
Penalty
Summary
The facility failed to ensure that all staff were trained on Quality Assurance (QA) and Performance Improvement (QAPI), affecting all 127 residents. Interviews revealed that a housekeeper and a registered nurse were unaware of what QAPI was and had not received training on it. The assistant administrator stated that while staff receive training on hire and participate in other trainings such as handwashing, floor staff do not participate in QAPI meetings and it was unclear if QAPI training for all staff was required. The nurse consultant and administrator were also unsure about the requirement for all staff to receive QAPI training. The infection preventionist/QA nurse confirmed responsibility for QAPI programming and acknowledged that not all staff had been trained, with QAPI training only beginning after the survey started. Additionally, the facility assessment did not identify a need for staff training on QAPI.