Failure to Provide Compliance and Ethics Training to Direct Care Staff
Penalty
Summary
The facility failed to provide required Compliance and Ethics training to most of the direct care staff reviewed, contrary to its own Continuing Education policy dated 9/22/25, which states that all levels of employees are expected to complete required trainings within designated time frames. The Human Resources Director reported that education is conducted on a calendar-year basis from January through December, yet review of 2025 facility education documents showed that a nurse aide (Employee E1), a registered nurse (Employee E3), another nurse aide (Employee E4), and another registered nurse (Employee E6) had no documented Compliance and Ethics training. During a subsequent interview, the Nursing Home Administrator confirmed that the facility did not provide Compliance and Ethics training to these direct care staff, resulting in noncompliance with 28 Pa. Code 201.14(a) and 201.20(c). No residents or specific patient conditions were mentioned in the report, and the deficiency centers solely on the lack of required Compliance and Ethics education for direct care personnel as identified through policy review, education record review, and staff interviews.
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