Lack of Compliance and Ethics Training Documentation for Staff
Penalty
Summary
The facility failed to provide staff with compliance and ethics training, as evidenced by the absence of documentation in the employee files reviewed during the annual survey. Seven employee files, including those of geriatric nursing assistants, an LPN, and an RN, were examined at the request of the surveyor. 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 that compliance and ethics training had been completed for the current year. Despite a subsequent search and provision of additional education records, no evidence of compliance and ethics training was found for any of the sampled staff. Both the Director of Nursing and the ADON were informed of these findings.