Lack of Documented Behavioral Health Training for Staff
Penalty
Summary
Facility staff failed to provide documented evidence of an effective training program for all staff that included, at a minimum, training on behavioral health care and services for residents. During an extended survey, a review of the facility's education and training records revealed that there was no documentation showing that such training had been provided to all staff. The binder provided by the educator did not contain records of behavioral health care and services training, and the annual skills fair did not include this component. Interviews with facility leadership confirmed the lack of comprehensive behavioral health training. The Regional Director of Operations acknowledged that behavioral health training was not part of the annual skills fair and could not verify that the educator had provided this training. Members of the QAA Committee also stated that staff were not receiving the necessary education to the extent needed, and that recent training by the new educator had only been conducted remotely. There was consensus among leadership that the current approach to staff education was insufficient to meet the facility's needs.