Lack of Documented QAPI 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 required annual Quality Assurance and Performance Improvement (QAPI) training to its staff, as evidenced by the absence of documentation in the employee files of seven staff members reviewed during the annual survey. During interviews, the Assistant Director of Nursing (ADON) stated that ongoing training occurs twice per month and that an annual competency skills fair was held, but was unable to produce records verifying completion of QAPI training for the specified staff. Despite a subsequent search and provision of additional education records, there remained no evidence of QAPI training for the employees in question. Both the Director of Nursing and the ADON were informed of the missing documentation.