Failure to Complete CNA Competency Reviews and Required Abuse/Dementia Training
Penalty
Summary
Surveyors identified that the facility failed to complete required annual performance reviews and competency/skills checks for two of five sampled CNAs. Review of CNA 4’s employee training file with the Director of Staff Development (DSD) showed that the last annual skill/competency assessment was completed on 9/16/24, making it four months overdue at the time of review. For CNA 6, the training file contained a skills/competency checklist with no employee signatures or dates, and the DSD could not confirm that CNA 6 had completed this or any other annual skills/competency assessment. The facility’s policy titled “Staff Competency Evaluation,” effective 6/04/24, required staff to have competency validation based on job description or assigned duties, with re-education and re-evaluation for staff unable to satisfactorily perform skills. The facility assessment, reviewed on 1/26/26, also specified yearly review of select clinical competencies. Surveyors also found that the facility did not ensure required abuse and dementia training for two additional CNAs in the sample. During review of CNA 3’s and CNA 7’s training files with the DSD, there was missing evidence of abuse and/or dementia training for each of these CNAs. The DSD acknowledged that these omissions meant the employees might not be able to respond properly to abuse situations or have the knowledge to effectively communicate with and care for certain residents. The facility assessment indicated that training requirements included dementia management training and abuse prevention training, and the DSD stated there were known training issues that needed to be addressed.
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