Observations
Based on a review of the staff work schedules and the CPR certification cards that were provided at the 8/9/12 inspection, the facility failed to ensure that CPR certification was provided to a sufficient number of staff persons, so that at least one person trained in these skills was onsite during the project's hours of operation.
The findings include:
The staff work schedules for the period of June 17, 2012 through July 28, 2012 and CPR certification cards provided at the 8/9/12 inspection were reviewed on 11/19/12. The facility failed to ensure that a sufficient number of staff were trained so that at least one person trained in these skills was onsite during the project's hours of operation on 8 out of 28 days.
The facility failed to provide coverage for the day shift and the evening shift on June 17, 2012.
The facility failed to provide coverage for the night shift on June 20, 23 and 24, 2012, and July 6, 7, 8, 21 and 25, 2012..
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Plan of Correction
The clinical supervisor will be responsible for reviewing and maintaining records regarding CPR. All staff with currently expired CPR or will be mandated to training and will be in compliance on or before 12/31/12. Staff currently without certification will not be allowed to work alone. All new hires will complete CPR training within the first 30 days of hire and will not be allowed to work alone. Full compliance will be achieved by 12/31/12. Clinical supervisors will monitor weekly schedules to ensure that at least one staff member with CPR is scheduled on each shift. |