Failure to Provide Mental Health Services After Sexual Abuse Incident
Penalty
Summary
The facility failed to provide medically-related social services to a resident following an incident of sexual abuse involving a housekeeper. Clinical record review, facility document review, and staff interviews revealed that after the resident, who was moderately cognitively impaired with a BIMS score of 11 out of 15, was kissed by a housekeeper, there was no evidence in the resident's electronic medical record of psychological services being provided. The resident's care plan did not address the sexual assault or the resident's inability to consent to the act at the time of the incident. Interviews with facility staff confirmed that the social worker was responsible for assessing residents after allegations of abuse and making referrals for mental health evaluation, as well as updating care plans to monitor for psychological stress. However, the social worker was not employed at the time of the incident, and no assessment or referral was documented. The lack of documented intervention and care planning following the incident constituted a failure to meet the psychosocial needs of the resident as required.