Failure to Provide QAPI Training to Staff
Penalty
Summary
The facility failed to provide mandatory training on the Quality Assurance and Performance Improvement (QAPI) program to five staff members, including nurse aides, an LPN, and an RN. Review of the facility assessment indicated that all employees were to receive mandatory education, including QAPI, through self-directed coursework, with completion tracked by the Director of Education. However, upon review of the education files for these staff members, there was no documentation of QAPI training present. During staff interviews, the Human Resource Director confirmed that these five staff members had not received the required QAPI training. The deficiency was identified through review of facility assessment documents, employee education files, and staff interviews, and was cited under state regulations regarding staff development, management, and the responsibility of the licensee.