Failure to Complete Timely Behavioral Health Training for New Staff
Penalty
Summary
The facility failed to ensure that initial behavioral health care training was completed in a timely manner according to its own policy for one employee. Specifically, a Registered Nurse hired as the Minimum Data Set 3.0 nurse did not have documented evidence of completing behavioral health care training within 40 hours of their start date, as required by the facility's policy. This was confirmed through personnel record review and interviews with the Human Resources Director, who acknowledged the training had not been completed, and the Administrator, who was unaware of the requirement. The facility's policy, revised on 06/28/2023, clearly states that new employees must complete behavioral health training within 40 hours of starting employment.