Failure to Ensure Required Staff Training and Documentation
Penalty
Summary
The facility failed to implement and maintain an effective training program for both new and existing staff, as required by their own policy and state regulations. Specifically, one LPN did not have documentation of completed training in areas such as effective communication, resident rights and facility responsibilities, abuse/neglect and dementia management regarding abuse prevention, infection prevention and control, compliance and ethics, and QAPI prior to independently providing services. Additionally, two RNs did not have documentation of required annual QAPI training. These deficiencies were identified through interviews and review of staff records and training logs, which showed missing or incomplete training documentation for the staff reviewed. The facility's policy required job-specific training tailored to the resident population and compliance with federal and state mandates, as well as use of the facility assessment to guide training needs. Despite this, the review of personnel files and electronic training records revealed gaps in required training for both new and existing staff. The administrator acknowledged the missing documentation and indicated that a better process for tracking and documenting training would be established in the future.