Failure to Provide Person-Centered Dementia Care and Services
Penalty
Summary
The facility failed to provide appropriate, person-centered treatment and services for a resident diagnosed with dementia. The resident's care plan did not include the dementia diagnosis or any related interventions, despite the resident having documented orders for dementia medications and exhibiting behaviors consistent with dementia, such as agitation, combativeness, and refusal of care. Progress notes indicated multiple incidents where the resident was physically combative, attempted to leave the facility, and refused assistance with activities and care. Staff were unable to provide medications or feed the resident due to his combative behavior, and the care plan lacked individualized, non-pharmacological approaches to address these issues. Interviews with staff revealed that while some dementia-appropriate activities, such as coloring and visiting the fish, were offered, more structured memory care activities were not consistently implemented. The Activities Director acknowledged knowledge of memory care interventions but had not regularly used them with the resident. The Director of Nursing confirmed the resident's dementia diagnosis and the need for care to support memory and health, but the documentation and care planning did not reflect this need, resulting in a lack of person-centered, dignity-maximizing care for the resident.