Failure to Complete Annual Staff Competencies and Training
Penalty
Summary
The facility failed to ensure that three out of seven reviewed employees, including a Licensed Vocational Nurse, a Housekeeping staff member, an Activities Assistant, and an Occupational Therapist, completed required annual competencies and training. Record reviews revealed missing annual physical examinations, Tuberculin (TB) skin tests, background checks, skills competency assessments, and abuse prevention training for multiple years for these staff members. Specifically, the Licensed Vocational Nurse lacked annual physicals and TB tests for two consecutive years, as well as missing annual skills competency and abuse training. The Housekeeping staff and Occupational Therapist also had missing annual skills competencies and abuse training, while the Activities Assistant had no documented annual skills competencies for four years. Interviews with the Director of Staff Development and the Director of Nursing confirmed that annual competencies, physicals, and TB tests are required upon hire and yearly thereafter. Both directors acknowledged the importance of these requirements in maintaining staff competency and resident safety. Facility documentation and policies also indicated that competency evaluations are to be conducted upon hire and annually, and that all nursing staff must meet specific competency requirements as defined by state law.