Failure to Provide Required Behavioral Health Training to Staff
Penalty
Summary
The facility failed to ensure that 7 out of 8 reviewed staff members received behavioral health training necessary to care for residents with mental, psychosocial, or other behavioral health conditions. Staff members including CNAs, an RN, an LPN, and a housekeeping staff member did not have documentation of having completed the required behavioral health training within the year based on their hire dates. The surveyor's review of employee records confirmed the absence of this training for these staff members. Additionally, the facility was unable to provide a policy on required annual in-service training when requested by the surveyor. Interviews with the Nursing Home Administrator (NHA) and the President of the facility's training provider revealed that while staff had received training related to substance use disorder, this was not comprehensive of all behavioral health conditions as required. The surveyor clarified that training must encompass all behaviors associated with mental illness, psychosocial, or other behavioral health conditions, not just substance use or dementia-related behaviors. The facility team acknowledged the concern, and no further documentation or information was provided to demonstrate compliance.