Failure to Provide QAPI Training to Direct Care Staff
Penalty
Summary
The facility failed to provide mandatory training on Quality Assurance and Performance Improvement (QAPI) to all staff as required by its own policy and state regulations. Review of the facility's in-service training policy indicated that all staff must participate in initial orientation and annual in-service training, with QAPI listed as a required topic. However, examination of facility education records for the year 2024 revealed that five direct care staff members, including nurse aides, an LPN, and an RN, did not receive training on QAPI. Interviews with the Human Resources Director and the Nursing Home Administrator confirmed that the facility did not provide QAPI training to these staff members. The deficiency was identified through review of facility documents and staff interviews, and it was determined that the facility was not in compliance with its own policies and state regulations regarding staff development and management responsibilities.