Lack of Documented Nursing Staff Competencies for Specialized Resident Care
Penalty
Summary
The facility failed to ensure that nursing staff, including registered nurses and licensed practical nurses, possessed the appropriate competencies and skill sets necessary for the care and assessment of residents requiring enteral tube feeding, use of lifts, catheter care, medication administration, and dressing changes. Documentation review showed that the facility had residents with these specific care needs, including 72 residents receiving medications, 17 utilizing lifts, two with indwelling urinary catheters, seven requiring dressing changes, and one with enteral tube feeding. However, the facility was unable to provide any documentation of competencies for five employees responsible for these care activities. This lack of documentation was confirmed by the Nursing Home Administrator and Director of Nursing during the survey.