Failure to Provide QAPI Training to All Staff
Penalty
Summary
Facility staff failed to provide mandatory training on the Quality Assurance and Performance Improvement (QAPI) program to all staff members. During the survey, the team leader requested documentation of staff training and competencies, which, according to the facility assessment, should include QAPI for all staff. Upon review, the Administrator was unable to produce any records of QAPI training or education for facility staff, except for one Certified Nursing Assistant who had completed QAPI training previously. No additional evidence of QAPI training for other staff was provided to the survey team prior to the exit conference. The deficiency was identified through staff interviews and document reviews, with the lack of QAPI training being confirmed by facility leadership and the absence of supporting documentation in staff files.