Lack of Comprehensive Care Plan for Schizophrenia Diagnosis
Penalty
No penalty information released
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Summary
The facility failed to develop and implement a comprehensive care plan for a resident diagnosed with schizophrenia. The resident was admitted with a diagnosis of schizophrenia and had a physician's order for Aripiprazole to treat the condition. Upon review of the clinical record, it was found that there was no care plan addressing the resident's schizophrenia, including target symptoms, measurable objectives, or interventions. During an interview and record review, the DON confirmed the absence of a care plan for this active diagnosis. The facility's policy requires a comprehensive, person-centered care plan with measurable objectives and timetables for each resident's needs.