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F0942
D

Failure to Complete Annual Resident Rights Training for Staff

Terrell, Texas Survey Completed on 07-17-2025

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 all staff members completed annual training on resident rights and facility responsibilities, as required by facility policy. Specifically, one LVN, hired in November 2021, had not received the mandatory annual training on resident rights for the period reviewed. This was identified through a review of the facility's mandatory training records and confirmed during an interview with the Administrator, who acknowledged the expectation for all staff to complete required annual training. The facility's policy, revised in September 2022, mandates that all staff participate in both initial orientation and annual in-service training, including training on resident rights and responsibilities.

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