Failure to Provide Mandatory QAPI Training to All Staff
Penalty
No penalty information released
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 provide mandatory training on its Quality Assurance and Performance Improvement (QAPI) program to three of eight reviewed staff members, as required by its Facility Assessment and state regulations. Specifically, a nurse aide, an LPN, and a dietary employee did not have documented QAPI in-service education within the required annual period based on their hire dates. This deficiency was identified through a review of facility documents, personnel in-service training records, and was confirmed during interviews with the Nursing Home Administrator and the Director of Nursing.