Failure to Provide Required Abuse Training to CNA
Penalty
Summary
The facility failed to implement and maintain an effective abuse training program for one of three employees reviewed. Specifically, a Certified Nurse Assistant (CNA) did not receive abuse training upon hire, during orientation, or at any point during employment, as confirmed by both the CNA and the Human Resources representative. The CNA was hired in April and had been working with residents without the required abuse prevention and reporting training, which is mandated by facility policy to be completed before any employee works with residents. The CNA was also unaware of the identity of the facility's Abuse Coordinator. During the survey, two residents reported incidents of physical and verbal abuse by the CNA, including being handled roughly during care, being punched in the mouth, and being spoken to in a rude and disrespectful manner. One resident displayed visible injuries consistent with their account. The CNA denied the allegations but confirmed that no abuse training had been provided. The facility's policy requires all staff to receive abuse training upon hire, and this training should be documented in the employee's file, but this was not done in this case.