Lack of Documented Infection Control Training for Staff
Penalty
Summary
The facility failed to provide mandatory infection prevention and control training to its staff as required by its infection prevention and control program. During the annual survey, interviews with the Assistant Director of Nursing (ADON) revealed that ongoing training was conducted twice per month and an annual competency skills fair was held. However, upon review of the employee files for seven staff members, there was no documentation verifying completion of the required infection prevention and control training for the current year. Despite additional attempts by the ADON to locate the records, no evidence of the required training was found in the files provided to the surveyor. Both the Director of Nursing and the ADON were informed of the missing documentation.