Failure to Provide Effective Dementia Care and Staff Training
Penalty
Summary
The facility failed to provide effective dementia treatment and services for a resident diagnosed with dementia, psychosis, and depression. The resident was noted to be severely cognitively impaired and exhibited behaviors such as touching other residents, which led to altercations. Multiple staff members, including registered nurses and certified nursing assistants, observed and reported the resident's behavior of touching others, and other residents expressed discomfort and frustration with these actions. Despite these ongoing behaviors, the resident's care plan did not document the behaviors or include interventions to address them, and behavior tracking records did not reflect any incidents. Interviews with staff revealed that they did not recognize the resident's touching as a behavioral issue, and several staff members, including CNAs, a dietary aide, and an LPN, reported not having received dementia training at the facility. The facility did not have a dementia unit or a dementia coordinator, and the administrator acknowledged the need for more dementia training, including early intervention and behavior management. These findings indicate a lack of appropriate assessment, care planning, and staff training related to dementia care for the resident in question.