Failure to Provide Individualized Dementia Care Interventions
Penalty
Summary
The facility failed to provide person-centered, individualized interventions for a resident diagnosed with vascular dementia and depression. The resident was admitted with significant cognitive impairment, as evidenced by confusion and dependence on staff for care. The care plan included general interventions such as administering medications, maintaining a consistent routine, and engaging the resident in structured activities, but did not specify resident preferences or individualized approaches. The care plan lacked documentation of specific activities the resident preferred and did not include tailored interventions to address the resident's unique needs and behaviors. Record review and staff interviews revealed that the resident exhibited frequent behavioral disturbances, including aggression and resistance to care, such as becoming combative and striking staff during care. Staff responses to these behaviors included leaving and reapproaching the resident later, as well as attempting distraction and redirection. Despite these efforts, the care plan did not reflect the resident's preferences or document personalized strategies, and staff confirmed that behaviors were ongoing and often triggered during care. The lack of individualized, person-centered interventions placed the resident at risk of unmet care needs and diminished quality of life.