Failure to Ensure and Track Required Staff Training on Dementia and Abuse
Penalty
Summary
The facility failed to develop and implement a system to ensure that all staff, including agency staff, received and completed required annual training on dementia management, abuse, neglect, exploitation, and misappropriation of resident property. Record reviews of five randomly selected employee files revealed that none had documentation of completion for most of the required training. Interviews with the Director of Human Resources and the Director of Nursing indicated that while a process existed for notifying staff and tracking training completion through Carefeed, there was a lack of confidence in the system, and no clear follow-up for non-compliance. Additionally, there was no process in place to ensure agency staff received the required training, and their compliance was not being tracked. Further review of an employee file related to an allegation of abuse showed that the implicated geriatric nursing assistant had not received the required dementia or abuse education for the relevant year. This was confirmed by both the Director of Human Resources and the Director of Nursing, who acknowledged that the staff member had not completed the mandatory training within the designated timeframe. The deficiency was evident in both routine staff files and in the context of a specific abuse allegation.