Lack of Facility-Specific QAPI Training for Staff
Penalty
Summary
The facility failed to provide mandatory training to all staff on its specific Quality Assurance and Performance Improvement (QAPI) program. Interviews with various staff members, including a nursing assistant, dietary aide, and activity aide, revealed that while some had completed general QAPI training through an online platform, none had received training specific to the facility's own QAPI program, its goals, elements, or implementation. Staff were unaware of what the facility was currently working on regarding QAPI, and there was no evidence or policy provided to show that such training had occurred. The regional administrator confirmed that no staff training specific to the facility's QAPI program had been conducted. This deficiency had the potential to affect all 18 residents in the facility.