Failure to Provide Required Compliance and Ethics Training
Penalty
Summary
Facility staff failed to provide required compliance and ethics training for one of ten staff members reviewed, specifically a registered nurse. During the survey, the nurse's education records were requested, but administrative staff indicated they might not be able to provide the information due to a recent sale of the facility and lack of access to old personnel records. The assistant director of clinical services, who was new to the role, confirmed she could not speak to why the required trainings were not completed in the past. She stated that she would be responsible for staff training moving forward and acknowledged the importance of training in meeting residents' needs. A review of the facility's policy on in-service training indicated that employees are to receive training on required topics annually, with additional training as needed based on facility assessment and regulatory requirements. The policy also stated that each center is responsible for ensuring compliance with federal, state, and local regulations regarding staff training. No further information or documentation regarding the missing training was provided prior to the survey exit.