Failure to Implement Dementia Care Plan
Penalty
Summary
The facility failed to develop and implement an individualized person-centered care plan for a resident diagnosed with dementia. The resident was admitted on October 31, 2024, with a diagnosis of dementia, which affects memory, language, problem-solving, and other cognitive abilities. The resident's most recent annual Minimum Data Set Assessment, dated November 6, 2024, confirmed the diagnosis of dementia. Despite this, the facility did not create a specific care plan to address the resident's cognitive loss until it was pointed out by a surveyor on January 15, 2025. This oversight was acknowledged by the Nursing Home Administrator and Director of Nursing during a review of the findings.
Plan Of Correction
1. Facility made revisions to individualize resident 43's care plan relating to her dementia. 2. Social services/designee reviewed residents with a dementia diagnosis to verify each had individualized dementia care plans. 3. Nursing staff and social services will be re-educated on implementing individualized person-centered care plans to address dementia and cognitive loss. 4. DON/designee will conduct random audits of 5 residents with dementia to verify their care plans are individualized weekly x4 and monthly x3. Results of audits will be reviewed by the Quality Assurance Performance Improvement Committee and changes will be made as necessary.