Failure to Provide Annual Behavioral Health Training to Dietary Manager
Penalty
Summary
The facility failed to provide annual behavioral health training to the Dietary Manager, as required by federal regulations and the facility's own assessment. Review of the Dietary Manager's personnel records showed no evidence of behavioral health training being completed for the period reviewed. The HR Coordinator confirmed that the facility uses Relias, a computer-based training program, to assign and track annual trainings, and that both employees and department heads receive email notifications regarding required trainings. However, the Dietary Manager did not have documentation of completing the required behavioral health training for the specified timeframe. Interviews with the HR Coordinator, Administrator, and DON revealed that the responsibility for ensuring completion of annual trainings lies with both the employees and their supervisors or department heads. Despite this system, the required behavioral health training was not completed or documented for the Dietary Manager. Additionally, when requested, no policy specifically addressing required annual training, including behavioral health training, was provided by facility leadership prior to the survey exit.