Failure to Complete Required Annual Employee Registry Screenings
Penalty
Summary
The facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and exploitation by not completing required annual employee misconduct registry (EMR) and nurse aide registry (NAR) screenings for two certified nurse aides (CNAs). According to the facility's policy, EMR and NAR screenings must be conducted upon hire and annually for all employees, including contracted staff, students, volunteers, and consultants, with documentation maintained as proof. Record reviews and interviews revealed that CNA A, hired on 03/26/24, had only one EMR/NAR screening completed on 03/20/2024, with no evidence of an annual screening in the employee file. Similarly, CNA B, hired on 05/01/18, had the last EMR/NAR screening on 01/31/24, with no documentation of an annual screening as required. Interviews with the HR Resource Assistant and HR Business Partner confirmed that annual EMR/NAR screenings had not been completed for CNA A and CNA B, and that such checks should be performed upon hire and annually according to facility policy. The Administrator also acknowledged that the screenings were not completed as required. This failure to follow established screening procedures could place residents at risk for abuse, neglect, exploitation, and misappropriation of property, as the facility did not ensure ongoing verification of employee eligibility and background in accordance with its own policies.