Failure to Train Developmental Disability Caregivers on Facility Policies
Penalty
Summary
The facility failed to implement an effective training program for Developmental Disability Caregivers (DDCs) who provided care to a resident with unspecified intellectual disabilities. The resident was admitted with a diagnosis that limited intelligence and disrupted abilities necessary for independent living, and the facility’s records showed that DDCs were present at the bedside throughout the night and early morning. Progress notes documented that DDC staff were with the resident at multiple times, but did not specify which DDC was present at each time. Later documentation indicated that the DON and ADON observed the resident with his arms tied to the bed rails, and the ADON then informed one of the DDCs that restraints were not allowed in the facility. Interviews with the DON and ADON revealed that three DDCs rotated in providing continuous care to the resident, relieving one another over the course of the resident’s stay. The DON stated that the DDCs were expected to provide the same services they had provided in the resident’s home, such as feeding, redirection, and companionship. However, the DON confirmed that none of the three DDCs received any training from the facility regarding its policies and expectations before assisting the resident. She further stated that she assumed the DDCs’ employer required the same training as the facility required for its own staff and was unsure what training the DDCs had actually received. The facility did not provide any training to these DDCs on its policies, including those related to the use of restraints, prior to their involvement in the resident’s care.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.