Lack of Documented In-Service Training for Nurse Aides
Penalty
Summary
Facility staff failed to provide documented evidence of required in-service training for nurse aides. A review of the facility's assessment and training records revealed that only three months of in-service training for Certified Nurse Aides (CNAs) in 2024 were documented, with no staff sign-in sheets attached to the training materials. The facility's assessment stated that competencies are completed during orientation and reviewed annually, but the available records did not substantiate that all required in-service training had been provided. The facility's educators were unavailable to clarify the training records during the survey. Interviews with facility leadership confirmed the lack of comprehensive documentation for CNA in-service training. The Regional Director of Operations acknowledged that only limited training records could be found, and members of the QAA Committee stated that staff were not receiving education to the extent needed. It was also noted that some education was provided on an as-needed basis by the DON and Administrator, and that a new educator had recently been hired but had only conducted remote training. There was no evidence that the required in-service training, including dementia care and abuse prevention, was consistently provided or documented for all nurse aides.