Failure to Provide Abuse Training to Registry Nurse Prior to Resident Care
Penalty
Summary
The facility failed to provide abuse prevention, identification, and reporting training to a Licensed Vocational Nurse (LVN) prior to the nurse providing direct care to residents. The LVN, who was employed through a nursing agency as registry staff, reported not receiving any abuse training from either the agency or the facility before starting her first shift. During interviews, the Director of Staff Development (DSD) confirmed that there were no records of abuse training for the LVN and acknowledged that the facility did not have a process in place to ensure registry staff received such training prior to working with residents. Further interviews revealed that the Administrator assumed registry staff received abuse training from their agency, but there was no verification or process to ensure this occurred. The facility's policy and procedure on abuse, neglect, and exploitation required new employees to be educated on these topics, but this was not extended to registry staff. As a result, the LVN was unaware of the facility's abuse reporting requirements, placing residents at risk of unreported or unidentified abuse.