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F0678
D

Failure to Ensure CNA Maintained Required ARC/AHA-Accredited CPR Certification

North Hollywood, California Survey Completed on 07-03-2025

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 implement its policy and procedure regarding cardiopulmonary resuscitation (CPR) by not ensuring that one of three Certified Nursing Assistants (CNA) had a valid CPR certification credentialed by the American Red Cross (ARC) or the American Heart Association (AHA). During a review of the CNA's CPR certificate, it was found that the training was not accredited by either the ARC or AHA, as required by the facility's policy. The Director of Nursing (DON) confirmed that CNAs are part of the facility's CPR team and that the policy mandates all staff to be trained by the ARC or AHA. Further interviews and record reviews with the Director of Staff Development (DSD) revealed that the CNA's CPR training did not meet the facility's accreditation requirements and that this oversight occurred during the hiring process. The facility's policy specifies that key clinical staff, including non-licensed personnel such as CNAs, must obtain and maintain ARC or AHA certification in BLS/CPR. The deficiency was identified through interviews and documentation review, confirming that the CNA was not properly credentialed according to facility policy.

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