Failure to Provide Annual Infection Control Training to Direct Care Staff
Penalty
Summary
The facility failed to ensure that one of five randomly selected direct care staff received annual infection control training, as required by their infection prevention and control program. Specifically, a Certified Nursing Assistant (CNA) did not have documentation of completing the 'Infection Control: Essential Principles' training since more than four years prior, despite having completed other infection control-related modules such as hand hygiene and urinary tract infection prevention. The surveyor reviewed training transcripts for several staff members and found that only this CNA lacked the required annual infection control training. During the survey, the Director of Nursing (DON) and Nursing Home Administrator (NHA) were unable to provide evidence of the CNA's completion of the required training. The facility uses an online training platform, Relias, to assign and track mandatory training modules for all staff, including infection control. However, the records provided did not show that the CNA in question had completed the annual infection control module, indicating a lapse in the facility's process for ensuring and documenting compliance with mandatory infection control training requirements.