Brookings

Based on documentation review, record review, and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if a staff member was not properly trained to assist a resident who had fallen and was unable to recover independently. Findings include: 1. A review of facility documentation revealed a policy and procedure titled "Fall Prevention and Recovery" which stated, "Fall Prevention and Recovery Training is required upon hire and at least every 12 months thereafter." 2. A review of E1's personnel record revealed E1 was hired as the manager. The review revealed documentation demonstrating E1 received training regarding fall prevention and fall recovery on November 10, 2022. However, the review revealed E1 did not receive training for fall prevention and fall recovery at least every 12 months thereafter. 3. A review of E2's personnel record revealed E2 was hired as a caregiver. The review revealed documentation demonstrating E2 received training regarding fall prevention and fall recovery on November 8, 2023. However, the review revealed E2 did not receive training for fall prevention and fall recovery at least every 12 months thereafter. 4. In an interview, E1 acknowledged E1 failed to administer a training program for all staff regarding fall prevention and fall recovery.