Failure to Provide Behavioral Health Services
Penalty
Summary
The facility failed to provide necessary behavioral health care and services to a resident, identified as R17, who was diagnosed with anxiety, depression, schizophrenia, and traumatic brain injury. Despite the resident's comprehensive assessment and care plan indicating eligibility for specialized mental health services, the facility did not offer these services. The resident expressed feelings of boredom and a lack of activities that met his interests and capabilities, indicating a gap in the provision of structured social activities and behavioral health interventions. Interviews with facility staff, including a social worker and the director of nursing, confirmed that the resident had not received the required behavioral health services since April 2021. The social worker had requested the physician to arrange for these services, and the physician acknowledged the resident's eligibility. However, a care plan was not implemented until a future physician visit was scheduled. This inaction resulted in the resident not receiving the necessary support to attain the highest practicable well-being, as mandated by the facility's policies and federal regulations.
Plan Of Correction
This plan of correction is submitted to comply with federal regulations. This plan is not an admission of guilt, or wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. R17 was seen by the psychiatrist. The Director of social service/designee audited residents PASARR's to ensure that if a resident qualifies for specialized behavioral health services the resident is receiving specialized behavior health services. The Director of social service educated the social service department on making sure if a PASARR indicates that a resident qualifies for specialized behavioral health that the resident is receiving those services. The Director of social service will audit new admissions PASARR's to ensure if the resident qualifies for specialized behavior health services the resident will be scheduled to see the psychiatrist. Audits will be done weekly x 4 weeks then monthly x 2 months.