Every finding on record at Palliative Performance Group LLC

Based on record review and interview, the agency failed to train two (DON, BC) of two new employees about their responsibilities in the agency's emergency preparedness and response plan. This failure could limit the ability of the facility staff to react with proper knowledge and actions prior to, and during emergency situations. The findings included: Record review of the personnel record for the DON on 01/12/22, revealed a hire date of 01/26/2021 to the position of DON. Review of the personnel record revealed no documented evidence that the DON was trained to the agency's EP plan. Record review of the personnel record for the BC on 01/12/22, revealed a hire date of 02/15/2021 to the position of BC. Review of the personnel record revealed no documented evidence that the BC was trained to the agency's EP plan. In an interview with the Adm on 01/12/22, at approximately 12:20 pm, the surveyor asked for documentation of the DON and BC's training to the agency's EP plan. The Adm stated she would look for it. During an interview on 01/18/22 at 11:55 am, the Adm was asked again for documentation that the DON and BC had been trained and understood their roles on the agency's EP plan. The Adm stated she did not find the documentation of the training of the DON and BC on the EP plan.