Failure to Provide Compliance and Ethics Training for Dietary Staff
Penalty
Summary
Facility staff failed to provide the required compliance and ethics 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 that this individual had completed the necessary compliance and ethics training. The only documentation produced was a Skills Competency Validation Record dated prior to the employee's hire date, and a transcript from the employee's phone app showed no record of the required training since employment. The Regional Director of Clinical Services confirmed that all employees were expected to complete compliance and ethics training. During interviews, the DON stated that her focus was primarily on clinical staff training and that all new employees should receive training on resident rights, abuse, and other basics during orientation. When specifically asked about dietary staff, the DON agreed that they should receive training on infection control, abuse, kitchen safety, quality assurance, compliance, ethics, and resident rights before starting their duties. However, no staff training policy was provided upon request, and no additional information was presented by facility leadership to demonstrate compliance with training requirements.