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F0730
E

Failure to Ensure Required In-Service Training Hours for Nurse Aides

Hays, Kansas Survey Completed on 07-23-2025

Penalty

27 days payment denial
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that nurse aides received the required 12 hours of in-service training per year, as evidenced by employment records showing that two nurse aides had not completed the mandated training hours. Specifically, one aide had completed only 6.5 hours and another 7.5 hours of the required 12 hours within the past year. This deficiency was identified through record review and staff interviews, which confirmed the shortfall in training hours. Administrative staff reported that the facility had recently changed ownership, and the previous owner managed human resources and training records offsite. As a result, the current administration had to rely on the previous company to provide information regarding in-service hours, and the records received indicated the deficiency. The facility's policy required all staff, including full-time, part-time, and PRN, to complete mandatory training within specified timelines, with managers responsible for tracking and addressing non-compliance.

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