Failure to Provide Required QAPI Training for Dietary Staff
Penalty
Summary
Facility staff failed to provide required Quality Assurance and Performance Improvement (QAPI) training for one dietary aide, as identified during a review of six employee records. The dietary aide in question was hired on 8/26/25, but there was no credible evidence in the employee's record to show completion of the mandatory QAPI training. The Director of Nursing (DON) acknowledged that her focus was primarily on clinical staff training and that new employees received basic orientation, but could not confirm that QAPI training was included for dietary staff. When asked, the DON agreed that dietary staff should receive training on infection control, abuse, kitchen safety, quality assurance, compliance and ethics, and resident rights before starting their duties. Further review of documentation provided by the DON and Regional Director of Clinical Services revealed a Skills Competency Validation Record for the dietary aide, but it was dated prior to the employee's hire date and was not considered credible evidence of QAPI training. The dietary aide's own training transcript also did not show completion of QAPI training. Additionally, the facility was unable to provide a policy on staff training when requested. No further information or documentation was provided by facility leadership to address the concern.