F0947

F

Failure to Provide and Document Required Annual CNA In‑Service Training

Beaver Dam, Wisconsin Survey Completed on 02-18-2026

Penalty

No penalty information released

Summary

The facility failed to ensure CNAs received the required 12 hours of annual in-service training, as identified through interview and record review. The facility’s policy on Required Training, Certification and Continuing Education of Nurse Aides, dated 10/1/22, states that the facility will provide at least 12 hours of in-service training annually based on the employment date, and that documentation of in-services will be forwarded to the HR Director and maintained in the employee’s personnel file. Surveyors randomly selected five CNAs and requested documentation of their annual in-service training. For CNA P, hired 2/8/23, the 2025 education record showed 10 hours of completed in-service, and a Nurse Aide Competency Form dated 3/15/25 did not indicate the number of credited in-service hours. For CNA/MA DD, hired 3/20/06, the 2025 education record showed 1 hour of completed in-service, and a Nurse Aide Competency Form dated 3/9/25 also did not indicate the number of credited in-service hours.

For CNA EE, hired 5/12/13, the 2025 education record showed 1 hour of completed in-service. For CNA FF, hired 4/24/24, the 2025 education record showed 1 hour of completed in-service. For CNA GG, hired 5/23/18, the 2025 education record showed 1 hour of completed in-service, and a Nurse Aide Competency Form dated 4/22/25 did not indicate the number of credited in-service hours. During an interview, the NHA stated that the facility no longer had access to its computerized education system as of about three months prior and had moved to in-person in-services. The NHA acknowledged that CNAs should receive at least 12 hours of continuing education and that there was no documentation of 12 hours of in-service for the CNAs reviewed, which had the potential to affect all residents in the facility.