Failure to Provide Mandatory QAPI Training to All Staff
Penalty
Summary
Facility staff failed to ensure that all employees received mandatory training on the elements and goals of the Quality Assurance and Performance Improvement (QAPI) program. During an extended survey, a review of six employee files revealed that four staff members, including two Geriatric Nursing Assistants, a Dietary Aide, and another staff member, did not have documentation indicating they had received the required QAPI training. The Human Resources Director was unable to provide evidence that the training had been conducted, and the Corporate Nurse confirmed that education records were not systematically maintained, making it impossible to determine if or when the training was provided. These findings were based on direct review of staff files and interviews with facility personnel, which confirmed the lack of documentation and systematic record-keeping for mandatory QAPI training among the staff reviewed.