Failure to Ensure Annual Dementia Training for All CNAs
Penalty
Summary
The facility failed to ensure that all Certified Nursing Assistants (CNAs) received at least five hours of dementia-specific in-service training annually, as required. Record reviews and interviews with the Director of Staff Development (DSD) revealed that out of 108 sampled CNAs, attendance at various one-hour dementia training sessions ranged from 33 to 68 CNAs per session, with no evidence that all CNAs completed the required training hours. The DSD confirmed during multiple interviews that only a portion of the CNAs attended each session, and none of the sessions individually or collectively ensured that every CNA met the five-hour annual requirement. Additionally, the facility's policy and procedure on in-service training, which mandates annual training in dementia management and resident abuse prevention for all staff, was not followed. The deficiency was identified through a review of attendance sheets for multiple training sessions, all indicating incomplete participation by the CNA staff. There were no specific residents mentioned as being directly affected in the report, but the lack of comprehensive training for all CNAs was established through documentation and staff interviews.