Failure to Ensure Annual Behavioral Health and Abuse Training for Staff
Penalty
Summary
The facility failed to ensure that two employees, a CNA and an LVN, received annual behavioral health training as required. Review of personnel records and training logs for both employees, who were hired in 2020, showed no evidence of behavioral health training completed in the previous 12 months. Additionally, there was no documentation that these employees received annual training on abuse, neglect, and exploitation. The human resources representative confirmed that the facility uses an online training program to assign and track trainings, with responsibility shared between employees and HR to complete and monitor required trainings. However, the system did not ensure completion of the required annual trainings for these staff members. Interviews with the HR representative and the Administrator revealed that the facility did not have a policy specifying required training topics, timeframes for completion, or clear assignment of responsibility for ensuring completion. Both acknowledged reliance on the online system and the expectation that staff would complete assigned trainings, but there was no formal process or policy in place to guarantee compliance. A policy outlining annual training requirements and responsibilities was requested but not provided prior to the survey exit.