Failure to Ensure Staff Completion of Compliance and Ethics 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 ensure that staff completed required training in compliance and ethics, as evidenced by a lack of documentation for both new hires and existing staff. Personnel file reviews and the in-service attendance calendar showed that six staff members, including LPNs and CNAs, did not have records of completing compliance and ethics training upon hire or annually. The in-service attendance calendar did not list compliance and ethics as a training topic, and an undated facility document indicated that training was intended for all departments but did not provide evidence of completion. During an interview, the DON confirmed the absence of additional education in the staff files.