Failure to Provide and Document Required Staff Training
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for its staff, as evidenced by the lack of required training for several certified nurse aides (CNAs). Record review showed that multiple CNAs did not have documentation of having received essential training in areas such as dementia care, behavioral health management, resident rights, infection control, quality assurance performance improvement (QAPI), and effective communication. Specifically, certain CNAs were missing training in one or more of these critical areas upon hire, and the facility was unable to provide evidence that these trainings had been completed. Interviews with the staff development coordinator (SDC) and the nursing home administrator (NHA) confirmed gaps in the staff education process. The SDC, who had only recently started at the facility, described providing education through monthly meetings, an education binder, and periodic skills fairs, but did not provide evidence of a comprehensive or consistently documented training program. The NHA, also new to the facility, acknowledged awareness of the deficiencies in staff education and indicated that efforts to improve tracking and compliance were underway, but at the time of the survey, the required training had not been documented for the affected CNAs.