Failure to Provide Annual Ethics Training to Staff
Penalty
Summary
The facility failed to provide mandatory annual ethics training to three employees: a Dietary Aide, the Dietary Manager, and the Assistant Director of Nursing (ADON). Personnel records for these staff members showed no evidence of ethics training being completed during the review period. The facility utilized Relias, a computer-based training program, to assign and track annual trainings, with notifications sent to both employees and their supervisors. However, despite these systems, the required ethics training was not documented as completed for the identified staff. Interviews with the HR Coordinator, Administrator, and DON confirmed that annual trainings were assigned and that department heads were responsible for ensuring completion. The HR Coordinator and Administrator both emphasized the importance of annual training for staff, noting that it is necessary to ensure resident safety and compliance with facility policy. Review of the facility's employee handbook also confirmed that all employees are required to complete mandatory training as defined by federal, state, and company policies.