Failure to Provide Ordered Behavioral Health Services
Penalty
Summary
A deficiency occurred when a resident with diagnoses of acute respiratory failure, generalized anxiety disorder, and major depressive disorder did not receive the necessary behavioral health care and services as required. The resident, who was cognitively intact and admitted for rehabilitation after being rescued from a house fire, reported that she was told she would receive emotional support upon admission but had not received any such services. She expressed a need for psychological support due to trauma from the fire and the loss of her belongings, and stated she previously had a counselor at home. Record review showed a physician's order for a psychological consult for anxiety and a care plan that included behavioral health consults and referrals to social services as needed. However, the Director of Social Services confirmed that no referral to psychological services or counseling had been made, citing the resident's short-term stay as the reason and stating she was unaware of the physician's order. As a result, the resident's psychological support service recommendations were not addressed and support services were not initiated as ordered.