Failure to Provide Required Behavioral Health Training to Direct Care Staff
Penalty
Summary
The facility failed to provide required Behavioral Health training to direct care staff as identified through policy review, education records, and staff interviews. The facility’s Continuing Education policy dated 9/22/25 stated that all levels of employees are expected to complete required trainings within designated time frames, and the Human Resources Director reported that education is conducted on a calendar-year basis from January through December. However, review of 2025 facility education documents showed that a nurse aide (Employee E1), a registered nurse (Employee E3), another nurse aide (Employee E4), and another registered nurse (Employee E6) had no documented Behavioral Health training. During an interview, the Nursing Home Administrator confirmed that the facility did not provide Behavioral Health training to these direct care staff members, in violation of state requirements and the facility assessment. No residents or specific patient conditions were mentioned in the report, and the deficiency centered solely on the lack of Behavioral Health training for the identified staff members, contrary to 28 Pa. Code: 201.14(a) Responsibility of Licensee and 28 Pa. Code: 201.20(c) Staff Development.
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