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F0940
D

Failure to Ensure Completion of Required Staff Trainings

San Antonio, Texas Survey Completed on 06-13-2025

Penalty

No penalty information released
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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 develop, implement, and maintain an effective training program for both new and existing staff members. Specifically, three newly hired employees did not complete required trainings upon hire, as evidenced by a review of their personnel records and training logs. Additionally, two existing staff members did not complete required annual trainings within the previous 12 months. The facility did not have a policy outlining required training topics, timeframes for completion, or clear assignment of responsibility for ensuring trainings were completed. Interviews with the HR representative and the Administrator revealed that the facility relied on an online training system to assign and track trainings, with notifications sent to employees and supervisors. However, there was no formal policy in place to specify training requirements or responsibilities, and the system did not ensure that all staff completed their required trainings. The lack of completed trainings was confirmed through record reviews and acknowledged by facility leadership.

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