Failure to Update Care Plan for Aggressive Behaviors
Penalty
Summary
The facility failed to update a resident's care plan to include new interventions addressing aggressive behaviors, despite evidence of ongoing behavioral issues. The resident, who had diagnoses including disorganized schizophrenia, expressive language disorder, restlessness, and agitation, was noted to have severe cognitive impairment and daily verbal behavioral symptoms that placed them at significant risk for illness or injury. Although the care plan initially addressed agitation and aggression, no new interventions were added after its initiation. An incident occurred in which the resident physically struck another resident, resulting in slight redness but no reported pain. Documentation showed that the care plan was not reviewed or revised to address this new aggressive behavior, as confirmed by facility staff.