Failure to Provide Timely Orientation and Mandatory Training to Staff
Penalty
Summary
The facility failed to ensure that all new and existing staff members received required initial orientation and training within two weeks of employment, as mandated by state regulations. Record reviews showed that 11 out of 12 sampled employees, including nurse aides, a housekeeper, an activities supervisor, and agency staff, did not complete training on essential topics such as resident rights, emergency procedures, adult abuse/neglect, medical emergency directives, and dementia care within the required timeframe. The facility's own assessment and compliance documents indicated that training on emergency preparedness, resident rights, and abuse and neglect was required, but there was no evidence of training on medical emergency directives. Personnel files and agency attestations further confirmed the lack of timely completion of these trainings for both direct hires and agency staff. Interviews with Human Resources and the Director of Nursing corroborated that several staff members, including those rehired or contracted through agencies, had not completed all required orientation topics. Specifically, there was no evidence that certain staff had completed training on emergency procedures, medical directives, dementia, or adult abuse and neglect within two weeks of starting employment. This deficiency had the potential to affect all residents in the facility, which had a census of 39 at the time of the survey.