Failure to Provide QAPI Training to Contracted Staff
Penalty
Summary
Facility staff failed to ensure that two contracted employees, a dietary aide and a housekeeper, received mandatory training on the facility's Quality Assurance and Performance Improvement (QAPI) program. Both employees were hired in early April 2023, but there was no evidence provided that they had completed the required QAPI training. According to the education coordinator, QAPI education is typically provided during orientation; however, these contracted staff members did not attend the facility's orientation. The facility's policy requires that all staff receive training on the elements and goals of the QAPI program as part of their annual training requirements. This deficiency was identified through staff interviews and review of facility documentation.