Director of Nursing B told inspectors on October 30 that the facility had used a computer platform for staff training "for a portion of the year" but stopped paying for the service. Once they canceled the subscription, administrators could no longer access records showing what training staff had completed.
"There was no current staff training program in place," the director of nursing reported.
Federal regulations require nursing homes to train all employees on infection control, resident rights, quality assurance, compliance and ethics, and communication. The training must be ongoing for existing staff and documented in employee files.
When inspectors reviewed employee files for three certified nursing assistants, they found no training records for any of these required topics in the past 12 months.
The director of nursing told inspectors that any completed training would be recorded in employee files. But the files for CNA T, CNA X and CNA KK contained no documentation of training in the QAPI program, infection control, compliance and ethics, communication or resident rights.
Nursing Home Administrator A acknowledged the facility had not been tracking staff training and was aware that some training requirements had not been met. The administrator reported there was no performance improvement plan in place to correct the lack of annual staff training.
The facility's own assessment from August 1 stated that its training program included "ongoing training for existing staff consistent with their expected roles." The document claimed administrators completed educational needs assessments and developed curriculum based on staff needs and resident characteristics.
The assessment specifically listed the required training content: "Effective communication, Resident rights, Infection Control, QAPI (Quality Assurance and Performance Improvement), Compliance and ethics."
But inspectors found the reality did not match the facility's written policies.
The violation affected "many" residents, according to the inspection report, creating potential for decreased resident safety throughout the facility.
Without proper training on infection control, staff may not follow protocols that prevent the spread of diseases between residents. Lack of resident rights training means employees may not understand how to protect residents' dignity and autonomy. Missing quality assurance education leaves staff unprepared to identify and report problems that could harm residents.
The facility's decision to stop paying for the computer training platform left administrators with no way to verify what education their employees had received. The loss of training records meant the facility could not demonstrate compliance with federal requirements designed to protect nursing home residents.
When the computer platform subscription ended, the facility apparently made no alternative arrangements to continue tracking employee training or to ensure staff received required education on safety topics.
The inspection found the facility failed to maintain an effective training program for all existing staff members, a violation that federal regulators classified as having potential for actual harm to residents.
The Orchards at Three Rivers houses residents who depend on properly trained staff for their daily care and safety. Without documented training in essential areas like infection control and resident rights, the facility cannot ensure its employees have the knowledge needed to provide safe, appropriate care.
The administrator's admission that no performance improvement plan existed to address the training deficiencies suggests the facility had no immediate strategy to correct the problem or prevent similar lapses in the future.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Orchards At Three Rivers from 2025-10-30 including all violations, facility responses, and corrective action plans.