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F0940
E

Failure to Provide Adequate Bomb Threat Preparedness Training

Odessa, Texas Survey Completed on 12-04-2025

Penalty

No penalty information released
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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

The facility failed to develop, implement, and maintain an effective training program for all new and existing staff regarding emergency preparedness, specifically related to bomb threats. Interviews and record reviews revealed that five staff members, including CNAs and LVNs, were inadequately trained on how to respond to bomb threats. Staff members provided inconsistent and incomplete responses when asked about their actions in the event of a bomb threat, with some stating they would simply notify a nurse or administration, while others admitted they would not know what to do or had never received specific disaster training for bomb threats. The facility's disaster preparedness training was primarily focused on fire drills, and staff could not recall receiving comprehensive or regular training on bomb threat procedures. A specific incident involved a resident with a history of behavioral issues, including low frustration tolerance and potential for verbal aggression, who made a threatening statement about bombing the facility. Staff responses to this threat varied, with some reporting the incident to administration and others expressing uncertainty about the appropriate steps to take. Interviews indicated that staff were unclear about procedures such as keeping a caller on the line, gathering information, and notifying authorities, as outlined in the facility's emergency procedures. Some staff referenced prior training or town hall meetings, but these were described as brief and lacking in detail regarding bomb threat response. Review of facility documentation showed that while in-services on disaster preparedness and bomb threats were conducted, the content and frequency were insufficient to ensure staff competency. The facility's emergency procedure for bomb threats included specific steps and a telephone checklist, but staff interviews demonstrated a lack of familiarity with these protocols. The absence of a provided checklist and inconsistent staff knowledge contributed to the deficiency in emergency preparedness training.

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