Failure to Develop Person-Centered Care Plan for Resident with Alzheimer's and Anxiety
Penalty
Summary
The facility failed to develop a person-centered care plan for one of five sampled residents who was diagnosed with Alzheimer's disease and anxiety disorder. The resident was admitted with these diagnoses, as well as muscle weakness, and required moderate assistance from staff for activities of daily living such as bathing, dressing, and toileting. Despite these needs, a review of the resident's care plans over a one-year period revealed that no care plans had been initiated to address the resident's Alzheimer's and anxiety diagnoses. During an interview and record review, a registered nurse confirmed that there were no care plans in place for these conditions and acknowledged that care plans are essential communication tools for staff to provide quality care. The facility's own policy required comprehensive care plans with measurable objectives and timetables to meet residents' medical, nursing, mental, and psychosocial needs, but this was not followed for the resident in question.