Failure to Provide Mental Health and Psychosocial Services
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident who displayed or was diagnosed with a mental disorder, psychosocial adjustment difficulty, or had a history of trauma and/or post-traumatic stress disorder. The deficiency was identified based on the lack of evidence that the resident received necessary care and interventions tailored to their mental health and psychosocial needs, as required by regulatory standards. Surveyors observed that the resident's care plan did not address their specific mental health diagnosis or trauma history, and there was no documentation of individualized interventions or services to support their psychosocial adjustment. This omission resulted in the resident not receiving the comprehensive care needed for their condition.