Failure to Provide QAPI Training to Direct Care Staff
Penalty
Summary
The facility failed to ensure that five direct care staff members received mandatory training on the elements and goals of the facility's Quality Assurance and Performance Improvement (QAPI) program. During the survey, the surveyor requested evidence from the Director of Nursing (DON) that these staff members, all Certified Nursing Assistants (CNAs) with varying hire dates, had completed the required QAPI training. The DON was unable to provide any documentation confirming that the training had been conducted for these individuals. This lack of evidence was confirmed in an interview with the Nursing Home Administrator (NHA), who acknowledged that the facility did not have records of the CNAs completing the QAPI training. No further information or documentation was provided to the surveyor.