Failure to Provide Required CNA Training and Competency Evaluations
Penalty
Summary
The facility failed to maintain required in-service training and competency evaluations for CNAs, including dementia care and abuse prevention education. Review of five randomly selected CNA employee files (R, S, T, U, and A) showed no documentation of annual or new hire education, training, or competencies. The Human Resources Director stated that any annual competencies or education should be kept in each employee file and confirmed that none of the five CNAs had formal competencies or in-services completed during the new hire process or annually, and that there was no required online or hands-on training in place at the time. A CNA reported she had not received any formal competency evaluation or skills check at this facility, though she had at other facilities. The DON reported that, to her knowledge, there had been no system for annual competencies and that, until approximately two weeks prior, new hire orientation consisted only of verbal information from HR and an informal orientation with staff on the floor. No residents or specific clinical conditions were mentioned in relation to this deficiency.
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