Failure to Verify Active NA and TMA Registry Status Before Allowing Nursing Duties
Penalty
Summary
The deficiency involves the facility’s failure to ensure that nurse aides and trained medication aides had active certification and were in good standing on the state registry before performing nursing or nursing-related services. Document review showed that four of seven reviewed nursing assistants (NA-A, NA-B, NA-C, NA-D) had inactive registry status with no evidence of renewal in their personnel files. NA-A’s certificate, originally issued in 2006, showed inactive status effective 8/24/2025, and there was no documentation of renewal or verification of active NA or TMA status, despite NA-A reporting ongoing work as a nursing assistant and trained medication aide and providing nursing-related care to residents that morning. NA-B’s certificate, dated 1995, showed inactive status effective 4/02/2023, with no renewal documentation in the file, even though NA-B reported working as an NA/TMA since 2003 and was unaware of the inactive status. NA-C’s certificate, dated 1995, showed inactive status effective 8/24/2025, with no evidence of renewal in the personnel file, while NA-C reported obtaining an NA certificate in Boston, moving to Minnesota, and providing nursing-related services such as toileting, transfers, and peri care to residents. NA-D’s certificate, dated 2014, showed inactive status since 8/24/2021, with no renewal documentation, and NA-D stated she did not know if her certificate was active, while acknowledging that nursing staff must have active status to perform nursing-related work. During interview, the administrator stated they could not provide TMA documentation for NA-A, NA-B, and NA-C and acknowledged that staff should not perform nursing-related work with inactive registry status. Facility job description policies for nursing assistants and TMAs, dated 12/21, required completion of approved training and being in good standing with the Minnesota Nursing Assistant Registry, which was not met for these staff members.
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