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F0942
D

Failure to Ensure Annual Resident Rights Training for All Staff

Worcester, Massachusetts Survey Completed on 08-20-2025

Penalty

No penalty information released
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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 all staff members received annual training on Resident Rights, as required. According to the Annual All Employee Course Completion History Report, 35 staff members were not in compliance with the mandatory annual Resident Rights education as of the review date. The Staff Development Coordinator (SDC) acknowledged responsibility for staff education but admitted there was no tracking system in place to monitor compliance with mandatory education requirements. The SDC also confirmed that Resident Rights education should be completed upon hire and annually by all staff. The Director of Nurses (DON) confirmed that many staff were out of compliance with the required training after reviewing the course completion report. The Administrator stated that the facility did not have a policy specifying the frequency of mandatory education. The DON emphasized the importance of Resident Rights education for staff to be properly trained to care for residents. No specific residents or patient conditions were mentioned in relation to this deficiency.

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