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F0947
F

Float CNAs Lacked Required Annual Training in Dementia Care and Abuse Prevention

Ketchikan, Alaska Survey Completed on 09-09-2025

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 four float CNAs received the required 12 hours of annual in-service training, including education on dementia care and abuse/neglect prevention. Record review showed that two CNAs had expired training and two had not completed the required training. Despite working in the LTC unit, these float CNAs did not attend the annual educational retreats provided to regular LTC CNAs and only completed an online module focused on abuse and neglect, which did not include dementia care. Interviews with the DON, House Supervisor, and Clinical Nurse Educator confirmed that float staff were not provided with LTC-specific training beyond the abuse and neglect module, and that dementia care education was not tracked or provided for these staff members. The facility's own training records and staff interviews revealed that the float CNAs worked in the LTC unit without having completed the necessary annual training. The facility's adopted training modules for dementia care and abuse/neglect were not utilized for float CNAs, and the continuing education program for these staff did not cover the required topics. This lack of training placed all residents at risk for substandard care due to staff not being provided with the education necessary to ensure continuing competence in the care of LTC residents.

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