Failure to Provide Timely Behavioral Health Care
Penalty
Summary
The facility failed to provide timely and necessary behavioral health care to two residents, leading to a deficiency in maintaining their highest practicable mental and psychosocial well-being. Resident 33, admitted with dementia, exhibited behaviors such as yelling, auditory, and visual hallucinations, which increased in frequency and intensity as noted in nursing progress notes from January and February 2025. Despite these observations, the resident's care plan, last revised in October 2024, was not updated to address the worsening symptoms, and no follow-up interventions were implemented after a psychological progress note in January 2025. Similarly, Resident 8, also diagnosed with dementia, showed behaviors including yelling, restlessness, anxiety, aggression, and crying, which escalated in early 2025. The resident's care plan, last updated in September 2024, did not reflect these changes, and no additional psychological interventions were documented following a psychological evaluation in January 2025. The Nursing Home Administrator was unable to provide evidence of psychological services aimed at maintaining or improving the residents' mental and psychosocial well-being, highlighting a failure to update care plans and provide necessary psychological services.
Plan Of Correction
Preparation and/or execution of this plan of correction in general, or this corrective action does not constitute an admission of agreement by this facility of the facts alleged or conclusion set forth in this statement of deficiencies. The plan of correction and specific corrective actions are prepared and/or executed in compliance with State and Federal laws. Review and update Resident #33 and Resident #8 care plans to reflect any changes in behavior to ensure all interventions are person-centered based on behaviors identified. An audit will be conducted, by Social Services or designee, on all residents exhibiting behaviors to ensure individualization of person-centered care plans. All new residents, with diagnoses reflecting behavioral issues or concerns, will have individualized, person-centered care plans. The residents will be reviewed at the weekly Behavioral Meeting. Social Services will present and report at monthly QAPI monthly x3.