Failure to Provide Required Staff Training
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for both new and existing staff members, as evidenced by the lack of required annual and onboarding education for seven employees. Record reviews showed that staff members in various roles, including administration, certified medication technician, nursing assistants, registered nurse, and occupational therapist, did not have documentation of completed mandatory training in areas such as abuse and neglect, infection control, dementia and behavioral health management, trauma-informed care, QAPI, corporate compliance, fire safety/disaster procedures, HIPAA, and resident rights for the year 2024. The facility assessment, last updated in January 2025, outlined the necessity for such training to ensure person-centered care, but the records did not support compliance with these requirements. During an interview, the staff developer was unable to provide evidence that the identified staff members had received all required mandatory training for 2024. The deficiency was identified through both record review and staff interview, confirming that the facility did not ensure all employees received the necessary education consistent with their roles and the facility's assessment of resident needs.