Insufficient In-Service Training for Restorative Nursing Assistant
Penalty
Summary
The facility failed to ensure that a Restorative Nursing Assistant (RNA) received the required 12 hours of in-service training, including education in dementia care and abuse prevention. During an interview and record review with the Interim Director of Staff Development (IDSD), it was found that the RNA did not receive any training prior to working on the floor. The employee file lacked documentation of the mandatory in-service training, and the in-service binder showed only 1 hour of dementia training and 9 hours of abuse prevention training for the relevant period, both of which were insufficient according to facility policy. The facility's policy requires all staff to participate in initial orientation and annual in-service training, with specific requirements for dementia and abuse prevention education. The IDSD confirmed that the RNA's training was incomplete and acknowledged that the lack of adequate training could impact the ability to care for elderly residents, particularly those with dementia or at risk of abuse. The deficiency was identified through review of training records and staff interviews, which confirmed the absence of required documentation and insufficient training hours.