Failure to Maintain Annual Nursing Staff Competency Documentation
Penalty
Summary
The facility failed to conduct annual performance reviews to ensure nursing staff maintained appropriate skill competencies. During the recertification survey, a review of five employee files revealed that none contained documentation of annual skill competency assessments. Interviews with the Director of Human Resources confirmed that staff are required to complete annual online in-service training and maintain competencies as a condition of employment. However, the Director of Nursing was unable to provide documentation of staff competencies and acknowledged that the process for tracking staff training and competencies was not functioning. Additionally, the Director of Human Resources admitted that the facility did not maintain employee records related to competencies.