Failure to Provide Required Behavioral Health Training to Staff
Penalty
Summary
Facility staff failed to provide required behavioral health training for two staff members, a registered nurse and a dietary staff member, as identified through staff interviews and review of facility documents. When education records for these staff were requested, administrative staff indicated that the facility's recent change in ownership and lack of access to previous personnel records prevented them from providing the necessary documentation. The assistant director of clinical services, who was new to the role, acknowledged that she could not account for why the required trainings had not been completed in the past. The facility's policy on in-service training specifies that employees are to receive training on required topics annually, with additional training as determined by the facility assessment and regulatory requirements. Despite this policy, the facility was unable to demonstrate that the required behavioral health training had been provided to the identified staff members. No further information or documentation was provided to address the deficiency prior to the survey exit.