Failure to Provide Required Annual Abuse and Dementia Training to Staff
Penalty
Summary
The facility failed to provide required annual staff training on abuse, neglect, exploitation, misappropriation of resident property, and dementia care, as required by its own Abuse policy and regulatory standards. The written policy, revised in April 2021, stated that the facility’s abuse, neglect, and exploitation prevention program included staff orientation and training on abuse prevention, identification and reporting of abuse, stress management, and handling verbally or physically aggressive resident behavior. Surveyors requested current training records for annual abuse and dementia training, and the records provided did not demonstrate that staff received thorough abuse training covering identification of all types of abuse, steps and measures to prevent abuse and neglect, techniques to prevent resident-to-resident altercations, requirements for timely reporting of abuse, and methods of gathering evidence for a complete investigation. Record review showed that 75 of 83 total staff members had not been provided annual abuse training since 2024. During interviews, the NHA and ADON stated that most training was done during onboarding and that all staff had been provided abuse and dementia care trainings, indicating they believed the trainings were completed. However, this statement was inconsistent with the documented training records, which showed that the last extensive training on abuse prevention occurred in 2024 and that the majority of staff lacked the required annual abuse training thereafter.
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