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F0949
E

Failure to Provide Behavioral Health Training to CNAs

Wytheville, Virginia Survey Completed on 05-07-2025

Penalty

Fine: $79,870
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Facility staff failed to provide behavioral health training for all five sampled Certified Nursing Assistants (CNAs). Review of in-service training records for these CNAs showed no evidence of completed behavioral health training, with only the trauma-informed care portion being completed by four of the five CNAs. The facility's own assessment and policy documents indicated that staff should be trained in recognizing psychological distress, implementing and monitoring care plan interventions relevant to behavioral health diagnoses, and following protocols for mental disorders, trauma, and substance use disorders. The facility assessment documented that the facility regularly cares for residents with behavioral health needs, including those with PTSD/trauma and substance use disorders. At the time of the survey, the resident matrix identified two residents with PTSD/trauma. Despite this, the facility was unable to provide evidence that the sampled CNAs had received the required behavioral health training as outlined in their own policies and facility assessment.

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