Failure to Provide Effective Communication Training to Direct Care Staff
Penalty
Summary
The facility failed to provide mandatory training on Effective Communication to five out of seven direct care staff members, as required by both federal and state regulations. Review of personnel files for a registered nurse, three nurse aides, and a licensed practical nurse revealed that none had documentation of receiving Effective Communication training within the required annual period following their respective hire dates. The facility's own policy mandates that all staff must complete this training prior to independently providing services to residents, annually, and as necessary based on the facility assessment. During an interview, the Human Resources employee confirmed that the required training had not been provided to these staff members. The deficiency was identified through review of facility policies, training records, and staff interviews, with no evidence found that the affected staff had completed the necessary training within the specified timeframes.
Plan Of Correction
Employee's 3, 5, 6, 8, and 9 will receive the communication training in January 2026. All employees will receive an annual communication training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for communication training. Human Resource Director or designee will audit the training to assure all staff have been educated on the training topic. Audit results will be turned into the Quality Assurance meeting monthly.