Failure to Develop PTSD Care Plan for Resident
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
The facility failed to develop a comprehensive care plan addressing the needs of a resident diagnosed with Post Traumatic Stress Disorder (PTSD). The resident was admitted with PTSD and was documented as alert, oriented, and receiving antipsychotic medication according to the most recent assessment. Upon review, the resident's care plan did not include any focus, goals, or interventions related to PTSD. Both the Social Services Director and the Chief Nursing Officer confirmed that there was no care plan or trauma-informed care evaluation in place for the resident, despite the expectation that such a plan should exist for individuals with this diagnosis.