Failure to Provide Person-Centered Dementia Care and Activities
Penalty
Summary
The facility failed to provide necessary person-centered activities and interventions for a resident diagnosed with dementia, as required for effective dementia care. The resident had multiple diagnoses, including dementia with psychotic disturbance, anxiety, delirium, congestive heart failure, and atrial fibrillation, and was assessed as having severely impaired cognition. Documentation showed the resident required assistance with most activities of daily living and regularly received antipsychotic and antidepressant medications. The care plan for the resident lacked specific person-centered interventions, did not list individual interests or triggers for negative behaviors, and was not tailored to the resident’s needs. Staff interviews confirmed that the care plan was not specific or person-centered, and staff had not received specialized training on dementia-related behaviors. Observations revealed the resident was left sleeping in a wheelchair in a common area, with no evidence of engagement in meaningful activities as directed by the care plan. The facility also lacked a dementia care policy, and staff acknowledged that care plans for residents with dementia were being updated to include more person-centered interventions. The absence of individualized activities and interventions placed the resident at risk of ineffective treatment and decreased quality of care.