F0940

E

Failure to Provide Required Emergency Preparedness Training for Existing Staff

Providence, Rhode Island Survey Completed on 02-12-2026

Penalty

No penalty information released

Summary

The facility failed to develop, implement, and maintain an effective emergency preparedness training program for existing staff, as required by its facility assessment. The facility assessment, last revised on 2/5/2026, stated that staffing would be adjusted based on staff education to ensure residents’ health and safety were maintained. Record review showed no evidence that four staff members—Staff H (hired 3/19/2015), Staff I (hired 10/11/2022), Staff J (hired 5/4/2021), and Staff K (hired 11/7/2024)—had completed emergency preparedness training. During an interview on 2/11/2026 at approximately 2:00 PM, the Director of Nursing Services (Staff M) was unable to provide documentation of emergency preparedness training for these staff and stated it was her expectation that such training would have been completed for them.

This deficiency was identified as having the potential to impact all 163 residents in the facility, as well as an indeterminable number of staff and visitors, due to the lack of documented emergency preparedness education for these staff members.