Failure to Provide Required Behavioral Health Training to Dietary Staff
Penalty
Summary
The facility failed to provide behavioral health training in accordance with federal requirements and its own facility assessment for two staff members in the dietary department. Specifically, the Dietary Aide I did not receive annual behavioral health training, and the Dietary Manager did not receive behavioral health training upon hire. Personnel records and training in-service documentation reviewed by the HR Coordinator showed no evidence that these required trainings were completed within the specified timeframes. Interviews with the HR Coordinator, DON, and Administrator confirmed that the process for delivering and verifying in-service trainings involved the HR Coordinator preparing monthly topics and department heads presenting them to their staff. However, the system did not ensure that all staff, including new hires and those requiring annual updates, received behavioral health training as required. The facility's policy indicated that behavior interventions should be included in the annual educational calendar, but this was not consistently implemented for all staff.