Failure to Provide Required Annual In‑Service Training for Nurse Aides
Penalty
Summary
The facility failed to provide the federally required minimum of 12 hours of annual in‑service training for nurse aides within 12 months of their hire date anniversary. Review of the facility’s most recent Facility Assessment, dated 4/15/25, showed that the facility stated it follows all state and federal guidelines for staffing education. However, review of the facility’s "Nursing Assistant In-Service Hours" document showed that five nurse aides did not receive at least 12 hours of in‑service education in their respective 12‑month periods. Specifically, one nurse aide hired on 3/7/86 received 2.00 hours of in‑service education between 3/7/25 and 3/7/26, and another aide hired on 3/6/20 received 2.00 hours between 3/6/25 and 3/6/26. A nurse aide hired on 9/30/91 received 4.00 hours between 9/30/24 and 9/30/25, an aide hired on 12/21/00 received 4.00 hours between 12/21/24 and 12/21/25, and an aide hired on 1/22/24 received 4.00 hours between 1/22/25 and 1/22/26. No additional documentation of in‑service hours was provided to the survey team by the end of the survey. In an interview on 4/10/26, the Nursing Home Administrator confirmed that the facility failed to provide the required 12 hours of annual in‑service education within 12 months of the hire date anniversary for these five nurse aides.
Plan Of Correction
Twelve hours of servicing will be provided for the Nurse Aide who's files were reviewed by the survey team. Beginning next month, the DON or their designee will conduct monthly in-service training for Nurse Aides, totaling 12 required class hours. The HR Director will be educated by the Administrator on the need to provide 12 hours of Inservice education to Nurse Aides yearly. The HR director will audit 10% of nurse aides to ensure they complete the monthly class required to acquire 12 hours of in-servicing. Results of these audits will be presented to the QAPI committee for review and recommendations.
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