Failure to Provide Behavioral Health Training to Staff
Penalty
Summary
Facility staff failed to provide behavioral health training to five out of eight employees reviewed during an extended survey. The survey included a review of staff interviews, staff records, and facility documentation, which revealed that there was no credible evidence that these employees had received the required behavioral health training. The facility assessment, last reviewed on 8/6/25, indicated that the facility serves residents with mental health and behavioral needs and outlined the necessity for staff competencies in managing psychiatric symptoms, cognitive impairment, depression, trauma/PTSD, and other psychiatric diagnoses. Despite being asked to provide evidence of behavioral health training for the selected employees, the facility was unable to produce documentation showing that the identified staff had completed such training. The administrator, DON, and corporate staff confirmed that they could not locate the required training records for these employees. The facility's own assessment highlighted the need for behavioral health competencies, particularly for memory care units, but the training records for the reviewed staff did not reflect completion of this requirement.