Failure to Update Care Plans for Sexual Behavior/Expression
Penalty
Summary
The facility failed to ensure that comprehensive, person-centered care plans were updated to address identified resident needs and appropriate interventions, specifically regarding sexual behavior and expression. For one resident with severe cognitive impairment due to dementia, the care plan noted a tendency to reach out to people to hold and kiss hands and faces, but did not include any further interventions or information addressing sexual behavior or expression, despite an incident where the resident was found in bed naked with another resident. The care plan was not updated to reflect the behaviors identified during the facility's self-reported incident investigation. Similarly, another resident, who was cognitively intact and had a history of chronic medical conditions and behavioral symptoms such as verbal aggression and inappropriate sexual comments, had a care plan that only included redirection for inappropriate sexual comments. The care plan lacked additional interventions or information related to sexual behavior or expression, even after the incident involving both residents was investigated. The facility's policy required comprehensive care plans to be developed and updated based on resident needs, but this was not followed in these cases.