Lack of Documentation for Annual Staff Training
Penalty
No penalty information released
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 provide reproducible evidence that annual training was completed for all staff members. During the survey, a review of the facility's training and in-service records revealed that there was no documentation of specific annual training for all staff. The Administrator confirmed via email that they were unable to locate documentation showing that annual training had been completed. The facility's own policy requires ongoing in-service programs with appropriate documentation of time, program content, and personnel attending, but this documentation was not available for review. At the time of the survey, there were 66 residents residing in the facility.