Failure to Provide Annual Fire Prevention and Safety Training to Staff
Penalty
Summary
The facility failed to provide required training on Fire Prevention and Safety to six out of seven reviewed staff members, including five nurse aides and one LPN. According to the facility's own 'Training Requirements' policy, all staff, contractors, and volunteers must receive training in key areas, including fire prevention and safety, prior to independently providing services, annually, and as needed based on the facility assessment. Personnel file reviews for the identified staff members showed no documentation of Fire Prevention and Safety training within the required annual period. During an interview, the Human Resources employee confirmed that the required training had not been provided to these staff members. The deficiency was identified through a review of personnel files and facility policy, with specific hire dates and missing training periods noted for each affected staff member. No information about residents or their conditions was included in the report.
Plan Of Correction
Employees 4, 5, 6, 7, 8, and 9 will receive the Fire Prevention training in January 2026. All employees will receive an annual Fire Prevention training during a set month of the year. Human Resource Director will educate all Department Directors on the annual education requirements for Fire Prevention training. Human resource Director or designee will audit the training to assure all staff have been educated on Fire Prevention training topic. Audit results will be turned into Quality Assurance meeting monthly.