Failure to Provide Trauma-Informed and Culturally Competent Care for Resident with PTSD
Penalty
Summary
The facility failed to identify, assess, and provide supportive interventions for a resident diagnosed with PTSD, major depressive disorder, traumatic brain injury, and Alzheimer's disease. The resident's care plan noted triggers such as not receiving medications on time and being denied smoking, which led to physical and verbal aggression. However, the care plan lacked specific interventions for de-escalation or alternatives to manage these behaviors, and there was no documentation of supportive strategies to help the resident cope with escalating behaviors. Additionally, the facility did not have a policy on trauma-informed care or behavioral health management. Interviews with staff revealed that they were aware of the resident's triggers but had not received formal training on trauma-informed care or specific interventions for managing the resident's behaviors. The DON confirmed knowledge of the resident's triggers but was unaware of any interventions in place on the care plan to address them. The absence of a trauma-informed care policy and lack of documented interventions contributed to the facility's failure to provide care that was trauma-informed and culturally competent for the resident.