Failure to Complete Annual Licensed Nurse Competency for MDS Nurse
Penalty
Summary
The facility failed to ensure that a licensed nurse specializing in Minimum Data Set (MDS) assessments completed the required annual competency evaluations for both 2023 and 2024. During interviews, the nurse admitted to not knowing the facility's policy and procedure for comprehensive care plans, which are essential for outlining all aspects of a resident's care. Another MDS nurse confirmed that developing comprehensive care plans is a key responsibility and that all MDS nurses should be familiar with the relevant policies. The Director of Nursing (DON) verified that the nurse had not completed the annual competency, which is intended to keep staff updated on necessary knowledge and skills. A review of facility records and policies showed that annual competency evaluations are part of the facility's training program for licensed nurses, with specific skills such as care planning included in the checklist. The facility's policies require ongoing training and competency assessments to ensure staff are equipped to provide person-centered care, including care planning, documentation, and communication with residents and families. The DON acknowledged the importance of these competencies for safe and effective resident care, and confirmed the deficiency in the nurse's training record.