Failure to Provide Behavioral Health Training to All Staff
Penalty
Summary
The facility failed to provide behavioral health training to all staff as required by its own facility assessment and regulatory standards. Review of training records and personnel files showed that behavioral health training was not provided upon hire or annually to several categories of staff, including contract housekeeping, dietary, maintenance, and multiple certified nursing assistants. The facility assessment indicated that all staff would receive education and competency training related to caring for residents with mental and psychosocial disorders, as well as those with trauma histories, but documentation did not support that this training was completed for all employees. Interviews with the Corporate Human Resource Manager and the contracted Regional Housekeeping Director confirmed that behavioral health training was not included in new hire orientation or in the annual in-service requirements for staff. Additionally, a review of a nursing in-service on behaviors revealed that only nursing staff were included, excluding other departments. This deficiency had the potential to affect all 86 residents in the facility, as staff across multiple departments were not adequately trained to address behavioral health needs as outlined in the facility's own assessment.