Failure to Provide Annual Resident Rights Training to Staff
Penalty
Summary
The facility failed to provide required training on Resident Rights to six out of seven reviewed staff members, including five nurse aides and one LPN. According to the facility's own policy, all staff, contractors, and volunteers must receive training on Resident Rights prior to independently providing services, annually, and as necessary based on the facility assessment. Personnel file reviews for these staff members showed no documentation of Resident Rights training within the required annual period. During an interview, the Human Resources employee confirmed that the identified staff members did not receive the mandated Resident Rights training. This deficiency was identified through review of facility policy, personnel files, and staff interviews, and it was determined that the facility did not meet the regulatory requirement to ensure staff are educated on resident rights and facility responsibilities.
Plan Of Correction
Employee's 4, 5, 6, 7, 8 and 9 will receive the resident rights training in January 2026. All employees will receive an annual resident rights training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for resident rights training. Human resource Director or designee will audit the training to assure all staff have been educated on resident rights training topic. Audit results will be turned into the Quality Assurance meeting monthly.