Failure to Ensure Required Annual CNA Training and In-Service Education
Penalty
Summary
The facility failed to ensure that four out of five sampled Certified Nursing Assistants (CNAs) completed the required 12 hours of annual in-service education based on their hire dates. Specifically, training records showed that one CNA completed only 7.82 hours, another 8.57 hours, a third only 0.17 hours, and a fourth had no documented annual training. Additionally, two CNAs did not receive annual training in abuse prevention, dementia care, and infection control as required. These findings were based on a review of staff lists, training records, and interviews with staff and management. Interviews revealed that staff training was conducted and tracked through the Relias online system, but some CNAs faced barriers to completing the training, such as lack of internet access at home and insufficient time during work hours. One CNA confirmed her training record was accurate and noted the challenges of completing training outside of work due to distance and lack of compensation. The Interim Assistant Director of Nursing and the Director of Nursing acknowledged the ongoing challenge of ensuring all CNAs meet the annual training requirements, with some staff unable to complete the necessary modules due to these logistical issues.