Failure to Update Care Plan for Resident Expressing Suicidal Ideation
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan with measurable objectives and timetables to address the needs of a resident who expressed suicidal ideation. Clinical record review showed that the resident, who had dementia, was admitted with multiple diagnoses and, on one occasion, communicated to staff a desire to harm herself. Although the social services department evaluated the resident and initiated every 15-minute checks, the resident's care plan was not updated to reflect her expressed suicidal ideation or to include interventions addressing her mental health risk. The care plan lacked documentation of strategies to monitor, support, and ensure the resident's safety regarding her psychosocial needs. The Nursing Home Administrator confirmed that the care plan had not been updated to address these concerns.