Failure to Ensure CNA Training and Active Licensure
Penalty
Summary
The facility failed to ensure that a Certified Nursing Assistant (CNA) received the required training to become a Geriatric Nursing Assistant (GNA) within the mandated 4-month timeframe. Record review showed that one CNA, who had been employed for more than four months, did not possess an active CNA license, and there was no documentation indicating that she had completed the necessary training or testing to become a GNA. The Maryland Board of Nursing license verification confirmed that her CNA license had expired and her status was listed as pending. Interviews with facility leadership revealed that there was no specific training program in place for CNAs to transition to GNAs, and the staff member in question was the only CNA currently working in the building. The Director of Nursing (DON) and Assistant Director of Nursing (ADON) both acknowledged the lack of a formal training process, and the Human Resources Director confirmed the absence of a special training course for CNAs to become GNAs. The deficiency was validated by the DON during the survey.