Failure to Provide Behavioral Health Training to Majority of Staff
Penalty
Summary
The facility failed to provide behavioral health training to 452 out of 552 direct and indirect care staff, as required by the facility assessment and policy. Record reviews showed that the annual in-service calendar scheduled behavioral health training for November, but attendance records from the December in-service indicated that only 100 staff, primarily from the morning shift, participated. There was minimal representation from the evening shift and only one night shift staff attended, leaving the majority of staff without the required training. The Director of Staff Development confirmed that no follow-up was conducted to ensure all shifts received the training, and the Director of Nursing acknowledged the absence of a lesson plan in the in-service binder, further indicating the training was incomplete. Interviews with staff, including a CNA and an LVN, revealed that the lack of behavioral health in-service could impact their ability to provide appropriate care and identify resident behaviors. The facility's policies require the Director of Staff Development to assess educational needs, plan and implement training, and maintain attendance records with lesson plans, but these requirements were not met. The facility assessment identified a secure unit for residents with dementia or behavioral issues, highlighting the importance of this training for the 49 residents with behavioral health concerns.