Failure to Ensure Annual In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to ensure that two of seven nurse aides completed the required 12 hours of annual in-service training as mandated by federal regulations. Review of facility documentation and staff interviews confirmed that Employees E9 and E10, both current nurse aides, did not have evidence of completing the annual in-service training. The facility's policy on education and training, revised March 31, 2025, requires ongoing education to maintain staff competency, but the facility was unable to provide documentation showing that these two employees met the annual training requirement. This finding was confirmed with the facility's director of nursing and administrator.
Plan Of Correction
All new CNAs will be required to attend an additional orientation day to complete required training prior to starting. All CNAs will be required to attend an additional day of training during each calendar year to complete required courses on site. Department head will conduct monthly audits to monitor training. Staff will be educated on changes to training process. Policy has been updated. Trainings will be reported at QAPI meetings.