Failure to Update Care Plan for Resident's Habitual Misplacing of Items and Accusations of Theft
Penalty
Summary
The facility failed to develop and implement a person-centered comprehensive care plan that addressed a resident's habitual misplacing or losing of items and subsequent accusations of theft against staff. The resident, who had diagnoses of dementia and anxiety and a BIMS score indicating moderately impaired cognition, had a history of losing property and accusing staff of theft, sometimes later finding the items. Despite these ongoing behaviors, the care plan did not include interventions or measurable objectives related to this issue. Multiple staff interviews confirmed that the resident's behavior of losing items and making accusations was known and should have been included in the care plan. The social worker, MDS nurse, and assistant directors of nursing all acknowledged that the care plan should have been updated to reflect these behaviors so that staff would be aware and could implement appropriate interventions. Review of the facility's policy confirmed the requirement for comprehensive, person-centered care plans that address all identified needs.