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F0947
F

Failure to Ensure Required Annual Inservice Training for CNAs

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 five Certified Nursing Assistants (CNAs) completed the required 12 hours of annual inservice education training, as mandated by facility policy and federal regulations. During a survey, a review of employee records for five randomly selected CNAs revealed that none had documentation verifying completion of the required inservice hours for their respective annual periods based on their hire dates. The facility's policy specifies that all staff must participate in regular inservice education, including training on topics such as effective communication, resident rights, abuse prevention, dementia care, infection control, and behavioral health. However, the staff development coordinator or designee did not document the completion of these trainings for the selected CNAs. The facility assessment did not include details regarding the requirement for CNAs to receive a minimum of 12 hours of training per year. When interviewed, the Nursing Home Administrator acknowledged the lack of documentation and stated that there was no further evidence of completed required trainings for the selected staff. The deficiency had the potential to affect all 39 residents residing in the facility, as the CNAs may not have been adequately trained in essential care and safety topics.

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