Failure to Provide Behavioral Health Training to Staff
Penalty
Summary
The facility failed to ensure that all staff received behavioral health training as required and as determined by the facility assessment. Personnel file reviews for multiple staff members, including LPNs, CNAs, the Human Resource Manager, the Administrator, a Dietary Aide, and the Activity Director, revealed no evidence of completed behavioral health training. Staff interviews confirmed that these individuals had not received the necessary training. The facility assessment indicated that care for residents with psychiatric or mood disorders was not provided, yet staff interviews revealed that 37 residents with such diagnoses were present and required assistance with behavioral health symptoms. The deficiency was identified through a combination of personnel file reviews, record reviews, and staff interviews. The Director of Nursing confirmed the presence of 37 residents with psychiatric and/or mood diagnoses at the time of the survey. Despite this, there was no documentation or evidence that staff responsible for their care had received behavioral health training, as required by regulations and the facility's own assessment.