Failure to Provide Required Annual CNA In-Service Training
Penalty
Summary
The facility failed to ensure that three out of six reviewed CNAs received the required minimum of 12 hours of annual in-service training. Personnel records for these CNAs showed no evidence of completion of the mandated training topics, such as communication, QAPI, ethics, falls, restraint, and emergency preparedness. The HR Coordinator reported that in-service trainings were initiated monthly and provided to department heads, who were responsible for presenting them to their staff. However, the HR Coordinator was responsible for verifying completion, and there was no documentation that the required trainings were completed for the identified CNAs. Interviews with the HR Coordinator, DON, and Administrator confirmed the process for distributing and verifying in-service trainings but revealed gaps in ensuring all staff completed the required annual training. Additionally, when requested, none of the facility leaders were able to provide a policy addressing the required minimum 12 hours of annual in-service for CNAs prior to the survey exit.