Failure to Ensure Completion of Required Dementia and Abuse Training for CNAs
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) completed the required dementia and abuse prevention trainings upon hire and annually, as evidenced by a review of four CNA employee files. Specifically, one CNA had only four out of the five required hours of dementia training, another had only two out of five required hours, a third had no dementia or abuse training, and a fourth had only three out of five required hours of dementia training and no abuse training. These findings were confirmed during interviews with the Director of Staff Development (DSD) and the Administrator, both of whom acknowledged the importance of these trainings and the facility's policy requirements. Record reviews further indicated that the DSD was responsible for maintaining current Department of Health-approved orientation and in-service training programs, including 24 hours of annual in-service education for CNAs. Facility policies required annual in-services to ensure nurse aide competence, including training in dementia management and resident abuse. Documentation of training participation, including hours completed and competency assessments, was also required but not consistently present in the reviewed files.