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F0730
D

Failure to Provide Required Annual In-Service Training for CNAs

Nashville, Tennessee Survey Completed on 04-11-2025

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 ensure that all Certified Nursing Assistants (CNAs) employed for a full year received at least 12 hours of in-service training, as required by facility policy. A review of the in-service training records for 23 CNAs revealed that none had completed the mandated 12 hours of annual in-service education. The hours completed by individual CNAs ranged from as low as 2.0 to a maximum of 10.5 hours within the specified timeframes, falling short of the policy requirement. The facility's policy, dated August 2022, clearly states that all personnel are required to participate in regular in-service education, with a minimum of 12 hours per year to ensure continuing competence. During an interview, the Staff Development personnel confirmed the annual requirement of 12 in-service hours for CNAs and acknowledged that no hours had been completed for the current year at the time of the interview. The Staff Development also explained their practice of conducting in-service training over a calendar year, rather than from each CNA's hire date. This approach contributed to the deficiency, as it did not ensure that each CNA received the required training within their individual annual employment periods.

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