Failure to Provide Resident Rights Training to Majority of Staff
Penalty
Summary
The facility failed to ensure that the majority of its staff, specifically 524 out of 552 direct and indirect care staff, received in-service training on resident rights and facility responsibilities as required by facility policy. Record review showed that the Resident Rights in-service was scheduled for April 2025, but attendance records indicated that only 28 staff members attended, primarily from the night shift. There were no sign-in sheets or evidence of training for the other shifts, and both the Director of Staff Development (DSD) and the Staff Development Consultant (DSDC) confirmed that the in-service was not provided to all staff. The DSD stated it was not possible to keep track of all staff attendance, and the DSDC acknowledged the significant impact this lack of training could have on residents. Interviews with the DSD and DSDC further revealed that the facility's policy requires annual and as-needed training on resident rights for all staff, and that department heads are responsible for ensuring staff attendance at mandatory in-services. The DSD admitted that incomplete in-service attendance meant staff might be unaware of critical information regarding resident rights, including the right not to be abused and the right to receive or decline care. The facility's policy also states that lack of staff attendance should be reported to the administrator and department heads, but this process was not followed, resulting in a deficiency in staff education on resident rights.