Missing QAPI Training for Five Staff Members: The facility failed to provide annual QAPI in-service training for five staff members, including two NAs, an RN, and an LPN. Personnel files did not show credible QAPI training for the review period, and the NHA confirmed the lapse during interview.
Failure to provide required QAPI training for five staff members, including an LPN, an RN, and three NAs. Facility policy required all staff to complete regular in-service education on QAPI, but personnel files showed no annual QAPI training for the review period, and the NHA confirmed there was no employee education for the year reviewed.
The facility failed to provide required Quality Assurance and Performance Improvement (QAPI) training to multiple staff members, including an LPN, a food service assistant, nurse aides, and an agency NA. Facility policies required annual in-service and continuing education for nurses and NAs, including at least 12 hours annually for NAs in accordance with OBRA, to be completed by each staff member’s anniversary date. Review of personnel files showed that five of seven sampled staff lacked documentation of annual QAPI in-service training for their most recent anniversary year, and the Clinical Nurse Educator confirmed that these staff had not received the required QAPI training.
Surveyors found that the facility did not provide required Quality Assurance and Performance Improvement (QAPI) education to most of the sampled staff. Review of the staff development policy showed an expectation for ongoing coordinated education, but records revealed that multiple nurse aides, LPNs, an RN, therapy staff, a dietary worker, and an environmental services worker lacked documented QAPI training either at hire or during required annual in-service periods. The administrator confirmed that eleven of fifteen reviewed employees had not received the mandated QAPI training.
The facility did not provide mandatory Quality Assurance and Performance Improvement (QAPI) training to multiple direct care staff, including NAs, an LPN, and RNs, despite a policy requiring all employees to complete designated education within set time frames. Review of annual education records showed no documented QAPI training for these staff members, and leadership confirmed that QAPI education had not been provided, resulting in noncompliance with state requirements for licensee responsibility and staff development.
The facility did not provide mandatory QAPI program training to a RN, three NAs, and an LPN, as required by policy and federal regulations. Personnel files lacked documentation of annual QAPI training for these staff, and HR confirmed the omission.
Three direct care staff, including two nurse aides and an LPN, did not receive mandatory Quality Assurance and Performance Improvement (QAPI) training as required by facility policy and state regulations. Personnel files and interviews confirmed the absence of QAPI education for these staff members.
A review of education records and staff interviews revealed that three nurse aides did not receive required QAPI training, as confirmed by the Nursing Educator. This failure to provide mandatory training was found to be noncompliant with staff development and management regulations.
The facility did not provide or document required training on the Quality Assurance and Performance Improvement (QAPI) Program for staff. Review of records and staff interviews confirmed the absence of QAPI-related education, and the administrator acknowledged the deficiency.
The facility did not provide required QAPI training to one direct care staff member, as confirmed by review of education records and staff interviews. This failure was identified during a review of staff development practices and cited under relevant state regulations.
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