Failure to Develop Dementia Care Plan for Resident with Alzheimer's
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A resident admitted with a diagnosis of Alzheimer's dementia and severe cognitive impairment did not have a comprehensive care plan developed to address her dementia or cognitive decline. The resident's Minimum Data Set documented severe cognitive impairment and a need for maximum to total assistance with all activities of daily living. However, the care plan only included focus areas for advanced directives and long-term residency, with no documented plan for treatment or services related to dementia. Interviews with facility staff, including the Care Plan Coordinator, Director of Nursing, and Corporate Nurse, confirmed that the care plan was incomplete and lacked necessary interventions for the resident's cognitive condition.