Failure to Provide Required Infection Control Training to Staff
Penalty
Summary
The facility failed to provide mandatory infection control training to four out of seven reviewed staff members, including three nurse aides and one LPN. According to the facility's own policy, all staff, including those under contractual arrangements and volunteers, are required to complete infection prevention and control training prior to independently providing services, annually, and as necessary based on the facility assessment. Personnel file reviews revealed that these four staff members did not have documentation of infection control training within the required annual period following their respective hire dates. This deficiency was confirmed during an interview with a Human Resources employee, who acknowledged that the required infection control training had not been provided to the identified staff members. The lack of training was found to be inconsistent with both federal and state regulations, as well as the facility's internal policies regarding staff development and infection prevention.
Plan Of Correction
Employee's 5, 6, 8, and 9 will receive the Infection Control training in January 2026. All employees will receive an annual Infection Control training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for Infection Control training. Human resource Director or designee will audit the training to assure all staff have been educated on Infection Control training topic. Audit results will be turned into Quality Assurance meeting monthly.