Failure to Develop Comprehensive Care Plans for Oxygen Use and Trauma-Informed Care
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents regarding their oxygen use and trauma-informed care needs. For one resident with chronic obstructive pulmonary disease, diabetes, and a history of pneumonia, the care plan did not address the use of oxygen, monitoring parameters for when to use oxygen, or safety precautions, despite physician orders for oxygen therapy and documented episodes of shortness of breath requiring oxygen. The care plan only referenced asthma and shortness of breath while lying flat, omitting critical details related to oxygen management. Another resident with diagnoses including dementia, anxiety, depression, and PTSD did not have an assessment or care plan interventions addressing PTSD, its triggers, or support strategies. The resident reported a history of significant trauma and ongoing symptoms such as nightmares and anger issues, but these were not reflected in the care plan or social service assessments. The facility's own policies require trauma-informed care planning and regular reassessment, but these were not followed for this resident.