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F0947
F

Failure to Provide and Document Required CNA In-Service Training

Three Rivers, Michigan Survey Completed on 10-30-2025

Penalty

No penalty information released
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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 implement an effective in-service training program for nurse aides, specifically not supporting mandatory attendance, tracking participation, or ensuring continuing competence. Review of personnel files for three CNAs revealed that documentation did not reflect the required 12 hours of annual training. The Director of Nursing reported that the facility had been without a staff educator and that she was attempting to cover those responsibilities, but had not yet established a staff training plan. Additionally, the facility had discontinued use of a computer-based training system and could not access previous staff training records. The Business Office Manager confirmed that the personnel files for the reviewed CNAs lacked evidence of the required annual training. The Nursing Home Administrator acknowledged awareness of the non-compliance with the 12-hour annual training requirement and confirmed that there was no current staff training plan in place. These findings indicate that the facility did not maintain an appropriate and effective nurse aide in-service training program as required by policy.

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