Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide culturally competent, trauma-informed care for a resident diagnosed with anxiety disorder and post-traumatic stress disorder (PTSD). The resident was admitted to the facility with these diagnoses, but the facility was unaware of the PTSD diagnosis. The resident's care plan, reviewed on December 19, 2024, included a plan for PTSD but did not address the actual diagnosis or condition, nor did it identify the resident's past experiences and possible triggers that could lead to re-traumatization. An interview with the social worker confirmed that the care plan lacked these critical elements.
Plan Of Correction
1. R191's care plan has been updated to ensure that culturally competent, trauma informed care is in place to eliminate and/or mitigate triggers that may cause re-traumatization. Staff that care for R191 were educated about changes to the care plan including triggers and interventions. 2. An audit was completed for residents to assure that care plans were developed related to culturally competent trauma informed care to assure elimination/mitigation of triggers for any resident with the diagnosis of PTSD. 3. Education was completed with licensed nurses and social workers on the requirements for developing care plans related to culturally competent trauma informed care to ensure elimination/mitigation of triggers for residents with a diagnosis of PTSD. 4. The Director of Social Services/Designee will conduct random audits of residents (10 residents) weekly x 4 weeks then monthly x 2 months to assure that care plans were developed related to culturally competent trauma informed care to assure elimination/mitigation of triggers for those having a diagnosis of PTSD. Findings of the audits will be reported to monthly QA x3.