Failure to Provide QAPI Training to Staff
Penalty
Summary
The facility failed to provide mandatory training on its Quality Assurance and Performance Improvement (QAPI) program to two of ten reviewed staff members. Specifically, Nurse Aide Employee E12, hired on 6/1/22, and Nurse Aide Employee E13, hired on 11/11/22, did not have documented QAPI in-service education from their respective hire dates through 5/6/25. This was confirmed through a review of facility documents, training records, and interviews with the Nursing Home Administrator and the Director of Nursing, who acknowledged the lack of QAPI training for these staff members. The deficiency was cited under 28 Pa Code: 201.14 (a) Responsibility of licensee, 28 Pa Code: 201.18 (b)(1) Management, and 28 Pa Code: 201.20 (a)(c) Staff development.