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F0943
F

Failure to Ensure Staff Training on Abuse, Neglect, Exploitation, and Dementia Care

Owen, Wisconsin Survey Completed on 10-15-2025

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 all staff received required training on abuse, neglect, exploitation, and dementia care, as outlined in its own policy. The policy states that staff and volunteers must receive education on resident mistreatment, neglect, abuse, exploitation, and misappropriation of property upon hire and annually thereafter. However, review of staff education records revealed that one CNA did not have documented abuse education training, and another CNA's annual training was missed due to their casual employment status. Additionally, the RN's training was not up to date. Interviews with staff and the Director of Nursing (DON) confirmed that there were lapses in the completion and monitoring of required training. The DON acknowledged that new hire training was not completed for at least one CNA before they began working with residents and that there may be other staff with lapses in annual training due to the transition to a new tracking system. These deficiencies have the potential to affect all 134 residents in the facility.

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