Failure to Assess and Address PTSD Triggers in Resident Care Plan
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to assess, monitor, and identify potential triggers for a resident diagnosed with Post-Traumatic Stress Disorder (PTSD), as required for trauma-informed care. Record review showed that the resident had multiple diagnoses, including PTSD, paraplegia, anxiety, and major depressive disorder, and was taking antianxiety and antidepressant medications daily. The resident's care plan only included medication administration for PTSD and did not address specific triggers. During staff interview, the Assistant Director of Nursing (ADON) confirmed she was unaware of the resident's PTSD triggers and acknowledged that the care plan lacked interventions for these triggers, despite the requirement to do so.