Lack of Documented Nursing Staff Competencies for Specialized Resident Care
Penalty
Summary
The facility failed to ensure that nursing staff, including both LPNs and RNs, possessed the appropriate competencies and skill sets necessary for the care and assessment of residents with specific clinical needs. Documentation and staff interviews revealed that there was no evidence of competency validation for staff responsible for residents requiring enteral tube feeding, use of lifts, catheter care, medication administration, transmission-based precautions, intravenous therapy, and dressing changes. The review identified that the facility had multiple residents with these care needs, including those receiving medications, using lifts, with indwelling urinary catheters, requiring dressing changes, under enhanced barrier precautions, and receiving IV therapy or enteral tube feedings. Despite these needs, the facility was unable to provide documentation confirming that the involved nursing staff had been assessed for competency in these areas.