Failure to Ensure Completion of Required Staff Training Prior to Resident Care
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for all new and existing staff, including those providing services under contract and volunteers, as required. Record reviews for five employees—a CNA, a dietary aide, a housekeeper, an LPN, and a social worker—showed missing documentation of required trainings such as Abuse, Neglect and Exploitation, Fall Prevention, Restraint Reduction, HIV and Bloodborne Pathogens, Emergency Procedures, and Dementia. These trainings were not completed prior to or on the employees' first day of employment, and in some cases, multiple required trainings were missing for the same individual. Interviews with the Administrator and DON confirmed awareness of the required trainings but revealed that no staff member was assigned to verify completion of these trainings before staff began working with residents. The Administrator stated that trainings were assigned through the facility's online portal, but it was left to each staff member to ensure completion. The DON acknowledged that there should be oversight to confirm all trainings are completed and understood, but this process was not in place. Additionally, the facility was unable to provide a policy or procedure regarding required trainings at hire when requested.