Failure to Implement and Monitor Abuse Prevention Training Program
Penalty
Summary
The facility failed to implement and monitor an abuse prevention policy that included a required training program for staff. Record reviews showed that 26 current staff members either lacked documented abuse training or had not received such training since the change in management. Specific staff, including supervisors, aides, and non-direct care personnel, had not had documented abuse or neglect training for several months, with some not trained since before the new management took over. Interviews with the Administrator and Director of Nursing confirmed that no comprehensive abuse or neglect training had been provided to staff since the management change, except for new hires during orientation. The Administrator and DON both acknowledged the absence of a current abuse training program and the lack of documentation for ongoing staff training. A review of facility policies indicated that all staff were required to participate in initial orientation and annual in-service training on topics including abuse, neglect, exploitation, and misappropriation of resident property. However, the facility did not adhere to these requirements, as evidenced by the lack of documented training for both direct and non-direct care staff. The deficiency was further substantiated by the Administrator's and DON's admissions that no abuse or neglect training had been conducted for existing staff since the management transition, and that there was no documentation of such training under current management.