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F0726
E

Failure to Ensure Timely Completion of Abuse Prevention Training by CNAs

Fishkill, New York Survey Completed on 08-25-2025

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 ensure that Certified Nurse Aides (CNAs) maintained the required competencies and completed annual abuse prevention training as mandated by facility policy and regulatory requirements. Record review revealed that three CNAs involved in separate allegations of abuse had not completed their required annual abuse training on time. Specifically, each CNA had significant gaps between their last completed abuse training and the date of the incident or the most recent training, with overdue assignments not completed until several months after they were due. The facility's abuse prevention policy did not specify the frequency of required training, and staff were found to be out of compliance with annual training requirements. Interviews with facility staff, including the Staffing Educator, Regional DON, Interim Administrator, and DON, confirmed that multiple staff members had not completed mandatory in-service trainings on time. The Staffing Educator reported that notifications and reminders were sent to staff and administration regarding overdue trainings, but these measures were not effective in ensuring compliance. One CNA stated they did not recall their last abuse training and had not received disciplinary action for missing required trainings. The deficiency was identified through record review and staff interviews, with documentation showing that the required abuse prevention training was not completed annually as required.

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