Failure to Provide Required QAPI Training to Direct Care Staff
Penalty
Summary
The facility failed to provide required Quality Assurance and Performance Improvement (QAPI) training to direct care staff, as identified through review of policies, education records, and staff interviews. The facility’s Continuing Education policy dated 9/22/25 stated that all levels of employees are expected to complete required trainings within designated time frames, and the Human Resources Director reported that education is conducted on a calendar-year basis from January through December. However, review of 2025 facility education documents showed that a nurse aide (Employee E1), an LPN (Employee E2), an RN (Employee E3), another nurse aide (Employee E4), and another RN (Employee E6) had no documented QAPI training. In a subsequent interview, the Nursing Home Administrator confirmed that the facility did not provide QAPI training to these direct care staff, resulting in noncompliance with 28 Pa. Code 201.14(a) and 201.20(c) regarding responsibility of the licensee and staff development. No residents or specific patient conditions were mentioned in the report, and the deficiency centers solely on the lack of required QAPI education for the identified direct care employees.
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