Failure to Maintain Required Staff Training and Competency Documentation
Penalty
Summary
The facility failed to implement and maintain an effective training program for all new and existing staff members, as required by its own Facility Assessment Tool and federal regulations. Specifically, for five Certified Nursing Assistants (CNAs), there was no evidence of completed annual competency reviews or documentation that each had received at least 12 hours of required in-service training annually from their date of hire. The facility's assessment outlined that staff training, education, and competency checks should be provided upon hire, monthly, annually, or as needed based on resident needs and staff performance, covering topics such as resident rights, abuse prevention, dementia care, and HIPAA compliance. During the survey, the Director of Nursing (DON) was unable to provide records of annual competency reviews or proof of the required annual training hours for the five CNAs in question. The Nursing Home Administrator (NHA) also confirmed the absence of this documentation. No additional information or evidence was provided to demonstrate compliance with the training and competency requirements for these staff members.