Failure to Provide Annual Resident Rights Training for Dietary Manager
Penalty
Summary
The facility failed to provide mandatory and effective annual training on resident rights for one of its employees, specifically the Dietary Manager. Review of the personnel records showed that the Dietary Manager, hired in April 2023, did not have documented evidence of completing resident rights training for the period reviewed. The HR Coordinator confirmed that the facility uses a computer-based training program (Relias) to assign and track annual trainings, and that both employees and their department heads receive email notifications when trainings are due. However, there was no record indicating that the Dietary Manager completed the required resident rights training during the specified timeframe. Interviews with the HR Coordinator, Administrator, and DON revealed that the responsibility for ensuring completion of annual trainings lies with both the employees and their supervisors. Despite this system, the required documentation for the Dietary Manager's resident rights training was missing. Additionally, when requested, neither the HR Coordinator, Administrator, nor DON could provide a policy specifically addressing the requirement for annual resident rights training prior to the survey exit.