Failure to Provide Required Initial Staff Training
Penalty
Summary
The facility failed to implement an effective initial training program for new employees, as evidenced by missing documentation of completed orientation training for three out of five sampled staff members. Specifically, a dietary aide had no evidence of completing initial orientation training on resident rights, emergency procedures, or dementia. Additionally, a nurse aide and a medication aide had no documentation of completed training on dementia or medical emergency directives. These findings were confirmed through personnel record reviews and an interview with Human Resources. The facility's own assessment tool rated training on abuse, neglect, emergency preparedness, and resident rights as high priority, and dementia training as medium priority, but there was no evidence of the importance of training regarding medical emergency directives. The lack of documented training for these staff members had the potential to affect all residents in the facility, which had a census of 45 at the time of the survey.