Failure to Provide Required Annual CNA In‑Service Training on Abuse and Dementia Care
Penalty
Summary
The facility failed to ensure that required annual in‑service education, including abuse prevention and dementia care, was completed for two of five reviewed CNAs. Surveyors requested documentation of in‑service/education training hours for five CNAs, and the records showed that one CNA (AA) last received abuse and dementia care education nearly two years prior, and another CNA (CC) had no documented dementia care education at all. These gaps meant the CNAs did not meet the requirement for 12 hours of in‑service training within the required time period, specifically lacking the mandated topics of abuse prevention and dementia care. During an interview, the Infection Preventionist/Staff Development nurse stated they had been in the staff development role since mid‑October and were responsible for reconciling in‑service hours. They indicated uncertainty about whether the electronic system was malfunctioning and confirmed that the documentation provided to surveyors was all they were able to locate. The nurse reported there was corporate oversight but could not explain why the facility had not identified CNA AA’s lack of required education/training. No additional documentation was produced by survey exit. The facility’s own policy on In‑Service Tracking assigns responsibility to the Administrator’s designee (Staff Development Nurse or HR) for tracking in‑service education and to department managers for assuring timely completion, but the documented lapses showed this process did not ensure compliance for the CNAs involved.
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