Failure to Assess and Train Staff for Emergency Response
Penalty
Summary
The facility failed to ensure its facility-wide assessment included nursing staff competencies and the necessary skill sets to provide the required level and types of care for its resident population. Specifically, when a resident experienced respiratory distress after choking on food, staff did not identify or appropriately intervene despite being informed of the situation. Documentation showed that the resident had decreased oxygen levels and became unresponsive, yet the facility's assessment lacked evidence of staff training and interventions for medical emergencies such as choking with respiratory distress. The incident was reviewed with facility leadership during the exit conference. A review of the facility's assessment document for 2024-2025 revealed no evidence of staff training or protocols for handling medical emergencies, including choking incidents with respiratory distress, which contributed to the deficiency.