Care Plan Lacked Comprehensive Psychosocial Interventions for Resident Behaviors
Penalty
Summary
The facility failed to ensure that a resident's care plan included comprehensive psychosocial interventions to address identified inappropriate behaviors. Specifically, a resident with diagnoses of depression, anxiety disorder, hypertension, and insomnia was known to make inappropriate and sexual comments to staff. Although the care plan included interventions such as one-on-one supervision, periodic safety checks, referral to psychiatric services as needed, and staff monitoring, it did not address the resident's expressed desire to form a relationship with another cognitively impaired resident or the facility's actions to restrict contact between the two residents. Interviews revealed that the resident was unhappy with the restrictions placed on his interactions with the other resident, which included supervised visits or visits behind glass. The facility had informed the other resident's POA, who requested no contact, and staff were instructed to keep the residents apart. However, these current concerns and interventions were not documented in the resident's care plan, as confirmed by the Administrator. This omission resulted in a deficiency related to the development and implementation of a complete care plan that meets all the resident's needs.