Failure to Train Contracted Staff on Facility Abuse Policy and Sexual Abuse Reporting
Penalty
Summary
The facility failed to ensure that contracted agency staff received training on the facility's abuse policy and annual abuse training, which had the potential to affect all 37 residents. A resident reported an incident involving a contracted nursing assistant (NA) who, during care, inserted a finger into the resident's anus, which the resident described as painful and upsetting. The incident was reported to a registered nurse, and subsequent review of the contracted NA's training records revealed that while the agency provided some abuse training, it did not include education on sexual abuse or the facility's specific reporting requirements. The NA confirmed that he had not received any abuse training from the facility itself, only from his agency, and that his last agency training was several months prior. Further review of the facility's policies indicated that orientation and annual in-service training on abuse and reporting were required for all new employees, but there was no evidence or process to ensure that contracted staff were included in this training. The facility's policy did not specify how contracted staff would be trained or who was responsible for ensuring their compliance with abuse prevention and reporting education. Documentation from the contracted agency also lacked evidence of sexual abuse training and did not meet the facility's requirements.