Lack of Documented Compliance and Ethics Training for Staff
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 staff were trained on compliance and ethics, as required by facility policy. A review of the training and in-service records did not show documentation of specific compliance and ethics training for all staff members. The Administrator confirmed via email that documentation of such training could not be located. The facility's policy on in-service training states that the Administrator is responsible for coordinating and documenting all in-service training, including time, program content, and personnel attending. At the time of the survey, there were 66 residents residing in the facility, according to the Resident Directory.