F0947

F

Failure to Implement Required Annual Nurse Aide Training and Competency Program

Hagerstown, Maryland Survey Completed on 01-29-2026

Penalty

Fine: $21,665

Summary

Facility staff failed to develop and implement a nurse aide training program that ensured each nurse aide received 12 hours of annual training, including competencies and education in dementia care and abuse prevention, and that training addressed weaknesses identified during annual performance evaluations. Record review on 1/22/26 showed that the personnel file for GNA #37, hired in 11/2018, contained no evidence of a performance evaluation or 12 hours of training with competencies in the last 12 months. Similarly, the file for GNA #14, hired in 2/2019, and the file for GNA #36, hired in 4/2023, lacked documentation of a performance evaluation or 12 hours of competency-based training in the last 12 months. Review of computer-based training transcripts for these three GNAs also failed to show completion of 12 hours of training with competencies in the last 12 months. On 1/16/26, review of the facility’s nurse aide training program/plan revealed it consisted only of a list of computer-based training modules and did not include skills competencies. The NHA and Corporate Clinical Resource Nurse Staff #3 confirmed that this list was their nurse aide training program, and the acting Nurse Practice Educator (Staff #13) stated that the facility had not developed and implemented a training program for nurse aides.

These findings were cross-referenced with F730.