Failure to Provide 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 provide mandatory Quality Assurance and Performance Improvement (QAPI) training to all employees, as required by its own Facility Assessment Tool. A review of the facility's census confirmed that 40 residents were present at the time of the deficiency. Examination of the Annual In-Service Schedule and staff in-service records from 9/1/24 through 9/6/25 revealed that QAPI training was not included. This was further verified by the Director of Nursing, who confirmed that staff had not received QAPI training.