Lack of Annual QAPI Training for All Staff
Penalty
Summary
The facility failed to ensure that all staff received mandatory annual training on the facility’s Quality Assurance and Performance Improvement (QAPI) program. Review of the facility’s CMS Long Term Care Application, dated 8/25/25 and signed by the Administrator, documented that 110 residents resided in the facility. A review of the facility’s List of Staff In-services, covering the period from 8/8/24 through 8/25/25, showed no documentation that facility staff had received the required annual QAPI training. In an interview on 8/28/25 at 12:55 PM, the Administrative Assistant confirmed that no staff at the facility had received the annual QAPI training.
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