Failure to Ensure Annual Ethics and Abuse Prevention Training for Staff
Penalty
Summary
The facility failed to ensure that two employees, a CNA and an LVN, received required annual ethics training and annual abuse, neglect, and exploitation training. Review of personnel records and training logs for both employees, who were hired in 2020, showed no evidence of completion of these trainings in the previous 12 months. The human resources representative, who was new to the facility, stated that the facility uses an online training program to assign and track trainings, with notifications sent to employees and their supervisors. However, it was revealed that the facility relied solely on this system and did not verify completion of the trainings. Further interviews indicated that there was no facility policy specifying required annual training topics, timeframes for completion, or clear assignment of responsibility for ensuring completion. The administrator assumed that human resources was responsible for monitoring training completion, but no documentation or policy was provided to support this. As a result, the facility did not ensure that all staff received necessary annual training in compliance and ethics, as well as abuse, neglect, and exploitation prevention.