Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed care for a resident with a history of trauma, specifically Post Traumatic Stress Disorder (PTSD). According to the facility's own policy, triggers that may re-traumatize residents should be identified and addressed through specific interventions in the care plan. Resident R39, who had a documented history of being assaulted and expressed discomfort with male caregivers, had this trigger identified in the social service history. The resident reported feeling anxious and reliving the traumatic experience when cared for by male staff. Despite this information, a review of the resident's care plan showed that it did not fully address the PTSD diagnosis or specify the trigger of male caregivers, nor did it include interventions to eliminate or mitigate this trigger. The Nursing Home Administrator confirmed that the facility did not provide trauma-informed care to prevent re-traumatization for this resident, as required by policy and regulation.