Failure to Provide Required Annual CNA Dementia Training
Penalty
Summary
The facility failed to provide the required 12 hours per year of continuing competence training for CNAs, including dementia management training, for a census of 68 residents. Surveyors’ review of the CNA orientation packet showed no evidence of dementia-related in-services, and the Human Resources Coordinator stated that dementia training hours are not tracked and that she had not been informed dementia training was required for CNAs to work on the floor. A sample review of three CNA personnel files revealed no documentation of dementia training, and three CNAs interviewed reported they do not keep track of their annual training hours and did not recall receiving dementia training in the past year. Review of the facility’s diagnosis report identified 31 current residents with diagnoses of dementia and/or Alzheimer’s disease. The Administrator and DON stated the facility does not have a specific policy regarding staff education requirements, including dementia training, and reported that the facility provides only 6 hours of general staff training upon hire and 3 hours of annual training thereafter. They also stated they believed they were not required to provide a specific number of dementia training hours because the facility does not have a memory care unit.
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