Lack of Staff Competency Due to Inadequate Orientation and Training
Penalty
Summary
The facility failed to ensure that nurse aides and nursing staff were competent to perform their assigned duties due to a lack of adequate orientation and training for both new and existing employees. Record review revealed that the facility did not have a formal policy or process in place for onboarding, orientation, or training of staff. Additionally, the facility was unable to provide training and competency records for several staff members, including certified nurse aides and a registered nurse. Interviews with facility leadership confirmed that there was no onboarding process for staff prior to July of the current year. The Assistant Director of Nursing (ADON) acknowledged oversight of CNA training but stated that no onboarding process existed before that time. The Human Resources Director, who had only recently joined the facility, also confirmed the absence of a formal onboarding process for nursing staff. The Staffing Coordinator and Director of Nursing further corroborated that there were no established policies or procedures for staff onboarding or competency verification, and that the process was still under development.