Failure to Track and Verify Staff CPR Certification
Penalty
Summary
The facility failed to establish and maintain a system to ensure that nursing staff maintained current cardiopulmonary resuscitation (CPR) certification for healthcare providers. During a review of staff records for specific dates and shifts, the facility was unable to provide verification of CPR certification for staff members who worked on the evening and night shifts. Administrative staff confirmed that there was no system in place to track staff CPR certification. The facility had a census of 95 residents, with 85 residents identified as full code, indicating their desire to receive resuscitative measures such as CPR in the event of cardiac arrest. The facility's policy required that basic life support and CPR be provided in accordance with physician orders and residents' advance directives. However, the lack of a tracking system for staff CPR certification resulted in the inability to verify that staff on duty were qualified to provide these life-saving measures when needed.