Failure to Provide Required HIV and Restraint Training to Staff
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for both new and existing staff members, specifically regarding HIV and restraint training. Record review revealed that five employees, including the Administrator, DON, ADON, and two LVNs, did not complete required HIV and restraint training upon hire. The employee files did not indicate that these trainings were completed, and there was also a lack of documentation for hire dates. Interviews with facility and corporate staff confirmed that not all employees had received the necessary trainings, attributing the lapse to a change of ownership and a failure to assign and monitor required trainings. Further interviews indicated that responsibility for ensuring completion of these trainings was shared between corporate HR, the facility HR manager, and supervisors. The corporate HR coordinator acknowledged that HIV and restraint training should be completed upon hire and annually, and that monitoring should occur during morning meetings. The Administrator also stated that corporate was responsible for providing information on required annual trainings, while the HR coordinator was responsible for ensuring completion. The facility's policy on required trainings was requested but not provided.