Failure to Provide Required Annual In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to ensure that three nurse aides received the required minimum of 12 hours of annual in-service training. During a meeting with the Nursing Home Administrator and DON, the surveyor requested documentation of in-service training hours for three nurse aides. It was confirmed through interview and review of employee education records that there was no documented evidence these nurse aides had completed the mandated training within the past year. This deficiency was identified based on the absence of required training records for the specified employees.
Plan Of Correction
There is no evidence of any actual ill effect on any resident in our community due to the lack of adherence to the requirements of in-service training for nurse aides and staff within the facility. Staff 7, 8, and 9 were provided with additional training to meet this requirement. Upon review of the CNA records, those needing documented training were scheduled for the upcoming (monthly) "Annual Training" session, and each were provided additional training to ensure they received the requirement to meet the regulatory guidelines. Education was provided to the Human Resource Rep on the requirement for and adherence to the Inservice Training requirements. Monitoring of this requirement will be conducted by use of an audit to include monthly file reviews for the CNAs' annual training as well as new employees being scheduled in accordance with their hire date for a six-month period. The newly appointed ADON will also be assisting in the monitoring of this requirement. Findings will be presented to the Quality Assurance Performance Improvement committee for recommendations, an explanation of any identified variance infractions.