Failure to Provide Mandatory QAPI Training to Staff
Penalty
Summary
The facility failed to ensure that all staff received the required Quality Assessment and Performance Improvement (QAPI) program training. During a review of training records for seven staff members, including CNAs, LPNs, and a Food Service Assistant, there was no documentation found indicating that these individuals had completed the mandatory QAPI training. The surveyor specifically checked the training records for the past year and found no evidence that the staff had been informed about the elements and goals of the facility's QAPI program. When the surveyor requested documentation of QAPI training, the Nursing Home Administrator and Director of Nursing were unable to provide it and indicated they needed to contact human resources and the education company to locate the missing records. Later, it was confirmed by the Nursing Home Administrator that the staff in question had not received the required QAPI training, as it was never included in the facility's training process. No further explanation was provided for the omission.