1. Initial Staff Training

How HFRD classifies it

HFRD prints a scope-and-severity letter beside each citation, on the grid the federal nursing home survey uses: A to C is a deficiency with no actual harm and the potential for minimal harm, D to F no actual harm with the potential for more than minimal harm, G to I actual harm that is not immediate jeopardy, and J to L immediate jeopardy; within each band the letter rises from isolated to pattern to widespread. D is by far the most common.

Where it is cited

What the requirement says

HFRD’s requirement text as it appears on the inspection report, verbatim.

111-8-63-.19(1)(d) The memory care center shall meet the following training requirements: Within the first six months of employment, staff assigned to the unit shall receive training in the following topics: (i) General Orientation. All staff, regardless of role, shall receive at least four (4) hours of dementia-specific orientation within the first thirty (30) days of working in the center. Such orientation shall include: (A) Basic information about the nature, progression, and management of Alzheimer's and other dementias; (B) Techniques for creating an environment that minimizes challenging behavior from residents with Alzheimer's and other dementias; (C) Methods of identifying and minimizing safety risks to residents with Alzheimer's and other dementias; and (D) Techniques for successful communication with individuals with Alzheimer's and other dementias.