2. 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) (ii) Direct Care Orientation. All direct care staff shall receive initial orientation training within the first thirty (30) days of caring for residents independently that, at a minimum, includes: (A) General training, to include: (I) Development, updating, and implementation of comprehensive and individual service plans; (II) Skills for recognizing physical or cognitive changes in the resident that warrant seeking medical attention; (III) Residents' rights and identification of conduct constituting abuse, neglect, or exploitation; (IV) General infection control principles; (V) Emergency preparedness training; (VI) Emergency first aid; and (VII) Cardiopulmonary resuscitation.