Failure to Provide QAPI Training to All Staff
Penalty
Fine: $64,3606 days payment denial
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 mandatory training on its Quality Assurance and Performance Improvement (QAPI) Program to two out of eight staff members, specifically two registered nurses. Review of facility education documents for the year 2024 showed that these two staff members did not have documentation of QAPI education. The Assistant Director of Nursing confirmed during interviews that the required QAPI training was not provided to these individuals. This deficiency was identified through review of facility documents and staff interviews, and it was determined to be non-compliant with state regulations regarding staff development and management responsibilities.