Failure to Provide Required Annual In-Service Training for CNAs
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) received the required 12 hours of in-service training annually, as mandated by federal regulations. During a review of employee files, it was found that two CNAs did not complete the annual in-service training hours. Specifically, the education files for these CNAs did not contain documentation showing completion of the required training for the relevant years. An interview with the staff member responsible for medical records confirmed that there was no documentation available to verify that the two CNAs had completed the 12-hour in-service requirement for the specified years. This deficiency was identified through a review of three CNA files, with two found to be non-compliant, potentially affecting all residents in the facility, which had a census of 39 at the time.
Plan Of Correction
Tag: F 0947 All nurse aides (#510 and #519) identified during the survey who had not completed the required 12 hours of in-service training for calendar year 2025 were immediately scheduled for and have now completed the missing training, including dementia care and abuse prevention modules. A facility-wide audit of all nurse aide training records for the past 12 months was conducted to identify any additional staff who were out of compliance with the annual in-service requirements. Any additional deficiencies found have been corrected as of 6/25/25. The administrator provided training to the HR director on 6/16/25 regarding requirements of CNAs to complete 12 CEUs annually. HR or designee will audit monthly for the next 3 months. Results of the audit will be provided to the QAPI committee for review and recommendation.