Failure to Provide Required Accident Prevention Training to Staff
Summary
The facility failed to provide required Accident Prevention training to six out of seven reviewed staff members, including five nurse aides and one LPN. According to the facility's own policy, all staff, including those under contractual arrangements and volunteers, must receive training on accident prevention 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 Accident Prevention training within the required annual period for each individual. 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 documented training was specifically noted for each staff member based on their hire dates and the corresponding annual training periods.
Plan Of Correction
Employee's 4, 5, 6, 7, 8, and 9 will receive the Accident Prevention training in January 2026. All employees will receive an annual Accident Prevention training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for Accident Prevention training. Human resource Director or designee will audit the training to assure all staff have been educated on Accident Prevention training topic. Audit results will be turned into Quality Assurance meeting monthly.
Penalty
The facility failed to provide accident prevention training for three nurse aides, as required by their policy. Despite the policy mandating education and training for all personnel, Nurse Aides E11, E13, and E15 did not receive the necessary in-service education within the specified timeframes. This deficiency was confirmed by the Nursing Home Administrator.
Failure to Provide Accident Prevention Training
Penalty
Summary
The facility failed to provide necessary training on accident prevention for three out of five nurse aides, as required by their policy. The policy, last reviewed on March 14, 2025, mandates that all personnel receive education and training related to resident care. However, a review of the facility's documents and training records revealed that Nurse Aide Employee E11, hired on March 26, 2023, did not receive accident prevention in-service education between March 26, 2024, and March 26, 2025. Similarly, Nurse Aide Employee E13, hired on March 8, 2022, lacked this training between March 8, 2024, and March 8, 2025. Additionally, Nurse Aide Employee E15, hired on April 14, 2014, did not receive the required training between April 14, 2024, and April 14, 2025. This deficiency was confirmed by the Nursing Home Administrator during an interview on April 18, 2025.
Plan Of Correction
Immediate Intervention: All nursing staff were provided with Accident Prevention training on the electronic platform. How to identify residents who can be affected: All employees can be affected. Prevention of further occurrence: Nurse educator reviewed training platform and discovered that 1550 was not uploaded to the training platform. Accident Prevention has since been uploaded, and employees have been given 30 days to complete training. By June 6, 2025, all employees will have 1550 training completed. Corrective action required: Nurse educator to review all staff training compliance monthly and report to DON delinquent staff. DON will pursue corrective action and discipline for employees who are non-compliant. QA Program: Nurse educator will report on staff compliance of staff education monthly at QAPI.
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release July 29, 2026) and official state health department websites — never guesswork.
In your survey window? See what surveyors are citing.
The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.