Uncertified Individual Worked as CNA Under False Identity Without Registry Verification
Penalty
Summary
The deficiency involves the facility’s failure to verify nurse aide certification and ensure that only properly certified CNAs provided resident care. On a specific date, an individual identified as V28 presented to the facility and worked an entire shift as a CNA by using the identity and staffing profile of another CNA, V20, who was scheduled to work that day. The Administrator (V1) stated that the facility uses a contracted agency to supply certified staff and that the profile being used belonged to V20, a CNA. V28 provided V20’s name as their own in order to work, access the electronic medical record, and provide resident care. Subsequent verification with the Health Care Worker Registry (HCWR) confirmed that V28 did not hold CNA certification and therefore was not eligible to be employed as a CNA, although eligible to work in a non‑CNA capacity. The report further documents that V1 did not report the incident of false identity and uncertified personnel providing resident care to the state agency. Interview with V20 confirmed that V20 did not pick up any shifts at the facility, despite the nursing schedule listing V20 to work a 6:00 a.m. to 6:00 p.m. shift on the date in question. Interview with another CNA, V19, indicated that V28 worked from 6:00 a.m. until an altercation occurred around 5:00 p.m., during which V28 was yelling and screaming in front of residents in the cafeteria and in a resident’s room. The facility’s resident roster documented a census of 39 residents, all of whom were affected by the presence of an uncertified individual working as a CNA and providing care under a false identity.
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