Failure to Provide Required Staff Training on Abuse Prevention and Dementia Care
Penalty
Summary
The facility failed to ensure that four Certified Nursing Assistants (CNAs), selected at random, received the required training on abuse prevention, activities that constitute abuse, procedures for reporting abuse, and dementia management. Review of employee records for these CNAs revealed that there was no documentation verifying completion of the mandated training. The facility's policy requires all staff, including new and existing personnel, contract workers, and volunteers, to participate in initial orientation and annual in-service training on these topics, with documentation maintained by the staff development coordinator or designee. During the survey, the Nursing Home Administrator (NHA) acknowledged the lack of documentation for the required trainings and indicated that there was no further evidence available to demonstrate compliance. The NHA also stated that education is a problem within the facility and mentioned considering the designation of a training coordinator. This deficiency had the potential to affect all 39 residents in the facility, as staff may not have been adequately prepared to prevent, identify, or report abuse, neglect, or exploitation, or to manage residents with dementia.