Failure to Provide and Document Abuse and Neglect Training for All Staff
Penalty
Summary
The facility failed to provide required abuse and neglect training to all staff, as evidenced by incomplete attendance and testing records and staff reports of never receiving such education. Record review of the most recent abuse in-service training sign-in sheet dated 1/5/2025, titled "Staff Sign Off Sheet for Abuse and Neglect," showed that only 13 of 28 listed nursing staff had signed for attendance, and only three post-tests were completed despite 23 signatures indicating attendance. The sign-in sheet and associated materials did not include the Social Worker, dietary, housekeeping, or maintenance staff. In interviews, a housekeeping/dietary aide (Staff E) and a Nursing Assistant (Staff B) each stated they had never received abuse-related training at the facility. During an interview, the DNS could not explain why 10 staff members who signed the in-service sheet had no completed post-test and could not provide evidence of a completed post-test for Staff B, despite her signature. The DNS also stated he was unaware that abuse training was required for all facility staff and believed it applied only to nursing staff until informed otherwise by the surveyor. No residents or specific patient conditions were mentioned in the report, and the deficiency centers on the facility’s failure to ensure comprehensive and documented abuse, neglect, and exploitation training for all categories of staff.
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