Failure to Implement Individualized 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, admitted on January 2, 2025, was assessed with dementia as per the Minimum Data Set Assessment conducted on January 8, 2025. Despite this assessment, the facility did not create a specific care plan addressing the resident's dementia and cognitive loss. Instead, the existing care plans titled 'psychosocial needs' and 'Anxiety-Cognitive' did not include individualized approaches to manage the resident's condition. The deficiency was confirmed during a review with the Nursing Home Administrator on February 12, 2025, who acknowledged the absence of a tailored care plan for the resident's dementia and cognitive loss. This oversight was noted as a repeat deficiency, having been previously cited on March 8, 2024.
Plan Of Correction
Resident 61 care plan revised to a person-centered care plan to address the resident's dementia and cognitive loss. Full house audit of all residents with a diagnosis of dementia and associated care plan to determine any other resident that may be affected. Education provided to Nursing staff on person-centered dementia care plans and interventions. Care plan audits to be completed weekly x 4 weeks, then monthly x 6 by the Skilled Nursing Director of Nursing. The Director of Nursing will continue to reinforce the importance of implementing person-centered care plans specifically for residents with dementia. The Director of Nursing will review any non-compliant findings with the staff involved. Any trends identified will be addressed with the staff per the progressive disciplinary process if appropriate. Audits will continue to be reported by the Skilled Nursing DON at scheduled Quality Assurance Performance Improvement meetings monthly.