Failure to Provide Person-Centered Dementia Care Interventions
Penalty
Summary
The facility failed to provide necessary person-centered activities and interventions for a resident diagnosed with dementia, as required by their own policy and care standards. The resident had multiple diagnoses, including dementia, major depressive disorder, Parkinson's disease, and bipolar disorder, and was dependent on staff for activities of daily living, used a wheelchair, and required a feeding tube. The resident's care plan included general communication strategies and environmental modifications but lacked individualized, person-centered activities and services specific to dementia care needs. Observations showed the resident was left alone, vocalizing in his native language, with no staff present to provide engagement or support. Interviews with staff, including a CNA, a licensed nurse, and an administrative nurse, revealed that they expected a dementia care plan with specific interventions for residents with dementia, especially those residing on the memory care unit. However, they could not explain why such person-centered dementia interventions were not in place for this resident. The facility's own dementia care policy required individualized, non-pharmacological approaches and meaningful activities, but these were not reflected in the resident's care plan or observed care.