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F0943
D

Lack of Documented Abuse Training for Nursing Staff

Silver Spring, Maryland Survey Completed on 04-16-2025

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 evidence that all nursing staff had completed required abuse training, as demonstrated by the absence of documentation for one Geriatric Nursing Assistant (GNA) among five employee records reviewed during a recertification and complaint survey. The surveyor thoroughly reviewed the complete employee file for the GNA, including health, training/education, and general employee documents, and found no record of abuse training completion. The Assistant Director of Nursing (ADON) confirmed that such training is required prior to staff starting on the unit and is part of orientation, with annual training on safety and dementia also required. The facility uses HealthStream as its training platform, and the Director of Nursing (DON) stated that transcripts of completed training are printed and placed in employee files. Despite these procedures, a review of the GNA's HealthStream transcript revealed completion of 33 training courses, but none related to abuse training. The ADON and DON indicated that previous training records from a prior platform, Vita Learn, had been migrated to HealthStream, but no evidence of abuse training was found in either system or in the employee's file. The ADON/IP confirmed the absence of abuse training documentation after further review, substantiating the deficiency.

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