Failure to Maintain Required Staff Training Program
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for all new and existing staff, contracted individuals, and volunteers, as required by policy and regulation. Record reviews showed that four out of five employees reviewed (an LVN, two CNAs, and a PTA) did not have up-to-date or complete training in critical areas such as Abuse, Neglect, and Exploitation, Fall Prevention, HIV, Restraints, Emergency Procedures, and Dementia. Specifically, the LVN and two CNAs had not received annual training in these areas since their respective hire or last training dates, and the PTA had no documentation of having received any of the required trainings since hire. During an interview, the BOM/HR acknowledged being unaware that these staff members were not current with their required trainings. She indicated that she had communicated with the corporate office regarding the provision of training and instructional materials but had not addressed the timing of trainings. For the contracted PTA, the BOM/HR assumed the necessary trainings had been completed through the contracting company but had not verified this or obtained documentation. The facility's policy requires specific in-service training upon hire and annually, but records and interviews confirmed this was not consistently implemented.