Failure to Provide Mandatory QAPI Training to All 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 ensure that all staff received training on the Quality Assurance and Performance Improvement (QAPI) Program, as required. The facility assessment reviewed on 9/26/25 did not include QAPI training as a topic for staff education, either upon hire, annually, or during new employee orientation and in-services. During interviews and record reviews, the Human Resources representative confirmed there was no documentation of QAPI training in the web-based training and education system, nor was it part of the orientation process. Further, it was confirmed by both Human Resources and the Nurse Educator that QAPI training had not been completed since 2020. At the time of the survey, the facility had a census of 84 residents.