Lack of Staff Training on Compliance and Ethics Program
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 training on its Compliance and Ethics Program to all employees, as evidenced by a review of records and staff interviews. The Annual In-Service Schedule did not include any sessions related to the Compliance and Ethics Program, and the Facility Assessment Tool did not list this program as a required staff training. Additionally, a review of staff in-service records over a one-year period confirmed the absence of such training. This was further verified by the DON, who acknowledged that staff had not received training on the Compliance and Ethics Program. The facility census at the time documented 40 residents residing in the facility.