Failure to Implement Accurate Care Plan for Resident's Alcohol Storage
Penalty
Summary
The facility failed to develop and implement an accurate, person-centered comprehensive care plan for a resident regarding the storage and access to beer, as ordered by the provider. Observation and interviews revealed that the resident kept a cooler with beer in his room and accessed it daily, consistent with his statement and the provider's order allowing one beer per day. However, the care plan documented that the beer should be stored in a locked refrigerator in the restorative area, not in the resident's room. Both the DON and Administrator confirmed the discrepancy between the care plan and the actual practice, with staff and family facilitating the resident's access to beer from the cooler in his room, contrary to the care plan instructions.