Failure to Provide Required Accident Prevention Training to Staff
Penalty
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.