Failure to Provide Timely Social Services for Guardianship
Penalty
Summary
The facility failed to provide sufficient and timely social services to assist in obtaining guardians for two residents with severe cognitive impairment. One resident, diagnosed with Alzheimer's disease, stroke, and depression, had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive impairment. Staff interviews confirmed that this resident had not received necessary interventions such as cataract surgery or glasses due to issues involving a family member and the lack of a guardian. The Nursing Home Administrator acknowledged delays in securing a guardian, citing a lapse in attorney services due to a change in contracted providers. Another resident, with diagnoses including manic depression, psychotic disorder, and borderline intellectual functioning, also had a BIMS score indicating severe cognitive impairment. Upon review, it was found that this resident's admission agreement had not been completed for an extended period, as the resident was unable to sign and required a guardian. Documentation showed ongoing efforts to address medical assistance and guardianship, but the process was delayed. The Nursing Home Administrator confirmed that both residents had not received timely assistance in obtaining guardians, resulting in unmet social service needs.