Failure to Document Required Annual Dementia Training for Staff
Penalty
Summary
The facility failed to ensure that four employees, including an LVN, two CNAs, and the Activities Director, received the required minimum one-hour annual in-service training for Dementia and Behavior Management. Documentation for the annual training was not available for these staff members due to a change of ownership, which resulted in the loss of access to previous training records. Interviews with staff revealed uncertainty about whether or when the required training had been completed. The HR Payroll Coordinator confirmed that training records from the previous ownership were not retained, and the Executive Director stated that all staff were considered new hires after the change of ownership, with annual training still in progress for some employees. Record review showed that while some training had been completed in the current year, there was no documentation of prior annual training for the affected staff. The facility's policy requires all staff to be trained in dementia care practices upon hire and annually, but the lack of documentation meant compliance with this policy could not be verified for the identified employees. This deficiency was identified through interviews and record reviews conducted by surveyors.