Failure to Provide Required Annual Training and Skills Review for Feeding Assistants
Penalty
Summary
The facility failed to ensure that its Feeding Assistant Program included required annual training and skills review for two of four paid feeding assistants reviewed. Wisconsin state requirements for feeding assistants, aligned with 42 CFR 483.60(h), specify that feeding assistants must receive an annual in‑service on relevant feeding topics and must be evaluated yearly to document satisfactory skill performance and feeding competence. Surveyor review of the Director of Rehabilitation’s (DOR K) Feeding Assistant Training Program documents showed that DOR K completed the state‑approved program, including training and skills review, on 4/17/24, but there was no documentation of any annual training or skills evaluation after that date. Similarly, review of feeding assistant records for staff member [NAME] V showed successful completion of the state‑approved Feeding Assistant Program, including training and skills review, on 4/17/24, with no subsequent annual training or skills monitoring documented. During an interview, [NAME] V confirmed that there had been no additional training after completion of the initial Feeding Assistant Program. In a separate interview, the Human Resources representative (HR W) stated that no additional training had been provided to feeding assistants and acknowledged being unaware of the requirement for annual training and skills review. The Nursing Home Administrator (NHA A) stated that she would have expected refresher training to be completed in accordance with state regulations.
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