Based on interview and record review, conducted during a site visit on 04/10/25, the facility's failure to ensure prior to beginning their job responsibilities, all employees must complete orientation training regarding abuse and reporting requirements was substantiated for 1 of 3 sampled staff member (#4). Findings include, but are not limited to:

A review of facility records indicated Staff 4's (MT) training records were incomplete, lacking documented evidence of abuse and reporting requirements training.

In an interview, Staff 1 (Administrator) acknowledged staff training documents were "out of compliance" and incomplete.

The findings were reviewed with and acknowledged by Staff 1, Staff 2 (Assisted Living Director), and Staff 3 (Regional Operations).

The facility's failure to ensure prior to beginning their job responsibilities, all employees had complete orientation training regarding abuse and reporting requirements.

Based on interview and record review, conducted during a site visit on 04/10/25, the facility's failure to document that they have observed and evaluated the individual's ability to perform safe medication and treatment administration unsupervised was substantiated for 1 of 1 sampled staff members (#4). Findings include, but are not limited to:

A review of facility training records indicated Staff 4's (MT) training records were incomplete, lacking documented evidence of med tech skills and competency checklist.

In an interview, Staff 1 (Administrator) acknowledged training documents were "out of compliance" and incomplete.

The findings were reviewed with and acknowledged by Staff 1, Staff 2 (Assisted Living Director), and Staff 3 (Regional Operations).

The facility's failure to document that they have observed and evaluated the individual's ability to perform safe medication and treatment administration unsupervised was substantiated.