Failure to Implement Dementia Care Plan
Penalty
Summary
The facility failed to develop and implement individualized person-centered care plans for a resident diagnosed with dementia, as required by regulations. Resident 27 was admitted to the facility with a diagnosis of dementia, which affects memory, language, problem-solving, and other cognitive abilities. Despite this diagnosis, a review of the resident's care plan revealed no evidence of a person-centered care plan addressing the resident's dementia and cognitive loss. This deficiency was identified during a clinical record review and staff interview, and confirmed by the Nursing Home Administrator and Director of Nursing, who acknowledged the absence of documentation for such a care plan prior to the surveyor's inquiry.
Plan Of Correction
The care plan for resident 27 was revised to reflect behavioral approaches related to cognitive loss and dementia. Other residents with dementia/cognitive loss care plans will be revised to reflect person-centered approaches to care. Staff will be educated on the implementation of person-centered care plans for residents with cognitive loss/dementia. A random audit of residents with dementia/cognitive loss will be completed to ensure person-centered care plans are implemented monthly for three months. Results of this audit will be reviewed by the Quality Assurance Committee to evaluate the need for ongoing auditing or further education.