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F0942
F

Failure to Provide Required Resident Rights Training to Staff

East Troy, Wisconsin Survey Completed on 07-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that four randomly selected staff members, including a dietary aide and three certified nursing assistants, received the required training on resident rights and responsibilities. According to the facility's own policy, all staff must participate in initial orientation and annual in-service training, including specific topics such as resident rights and responsibilities. Documentation of completed training, including date, topic, method, and competency assessment, is required to be maintained by the staff development coordinator or designee. During the survey, the surveyor reviewed employee records for the selected staff and found no documentation verifying that they had received the required training. When questioned, the Nursing Home Administrator acknowledged the lack of documentation and stated that there was no further evidence of completed training for these staff members. The deficiency was confirmed during interviews with the administrator and the Director of Nursing, who both recognized the issue with staff education and training documentation.

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