Failure to Provide Compliance and Ethics Training to Staff
Penalty
Summary
The facility failed to provide required training on Compliance and Ethics to seven out of ten reviewed staff members, as determined through a review of facility policy, personnel in-service training records, and staff interviews. The facility's policy mandates an effective training program for all new and existing staff, including content on compliance and ethics, among other topics. Documentation revealed that several staff members, including nurse aides, an occupational therapist, a registered nurse, a housekeeping employee, and a dietary employee, did not have records of completing the required Compliance and Ethics in-service education within the specified annual timeframes. The deficiency was confirmed during an interview with the Nursing Home Administrator, who acknowledged the lack of documented training for the identified staff members. The absence of this training was found despite the facility's policy and the availability of annual education sessions, indicating a lapse in adherence to established staff development requirements.