Failure to Ensure Annual Infection Control Training for Staff
Penalty
Summary
The facility failed to ensure that all required staff completed annual infection control training as part of its infection prevention and control program. Record review showed that one certified nursing assistant completed infection control training in November 2022 and one registered nurse completed the training in December 2023, but neither had completed the required training for the current year. During an interview, the Human Resource Manager confirmed that these staff members had not fulfilled the annual training requirement for 2025, despite the facility's policy that mandates yearly completion of infection control training. This lapse in training was identified through review of staff training records and confirmed by facility staff, indicating that the infection prevention and control program's standards, policies, and procedures were not fully implemented for all staff as required.