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F0838
B

Failure to Specify Staff Competencies and Training for Psychiatric Care in Facility Assessment

Santa Ana, California Survey Completed on 08-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure its facility-wide assessment included a resident-centered staffing plan that addressed the specific competencies required to care for residents with psychiatric disorders. The assessment tool reviewed did not specify the behavioral training staff would receive to manage residents with psychiatric or behavioral symptoms, despite the facility having a significant number of residents with such needs. The Administrator confirmed that the assessment was used as a general overview and did not detail the competencies or training for staff related to psychiatric care. During interviews, a CNA reported relying on instinct and calling for help when managing residents with escalating mental health behaviors, and stated she had not received formal training from the facility. Review of her employee file and the facility's course completion history confirmed the absence of documented behavioral training. The deficiency was identified through interviews and document reviews, which showed a lack of formalized training and documentation for staff responsible for residents with psychiatric disorders.

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