Failure to Provide Annual Abuse, Neglect, and Exploitation Training to Staff
Penalty
Summary
The facility failed to provide required training on Abuse, Neglect, and Exploitation to four out of seven reviewed staff members, including three nurse aides and one LPN. According to the facility's own policy, all staff, contractors, and volunteers must receive training on these topics prior to independently providing services, annually, and as needed based on the facility assessment. Personnel file reviews revealed that these four staff members did not have documentation of having completed the required training within the specified annual timeframes following their hire dates. This deficiency was confirmed during an interview with a Human Resources employee, who acknowledged that the required training had not been provided to the identified staff members. The lack of training was identified through a review of facility policy, staff personnel files, and staff interviews, and it was determined that the facility did not meet the regulatory requirements for staff development and training on abuse, neglect, and exploitation prevention.
Plan Of Correction
Employee's 5, 6, 8, and 9 will receive the Abuse and Neglect training in January 2026. All employees will receive an annual Abuse and Neglect training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for abuse and neglect training. Human Resource Director or designee will audit the training to assure all staff have been educated on Abuse and Neglect training topic. Audit results will be turned into the Quality Assurance meeting monthly.