Failure to Address Mental Health Diagnoses in Care Plan
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to develop a care plan that addressed the specific mental health diagnoses of anxiety and post-traumatic stress disorder for a resident with these conditions. The resident's admission Minimum Data Set (MDS) assessment documented the presence of anxiety and post-traumatic stress disorder, and the admission record confirmed these diagnoses. However, the care plan initiated for the resident did not include interventions or goals related to these mental health issues, only addressing depression. During an interview, the MDS coordinator acknowledged that the care plan should have included these diagnoses to ensure staff awareness of the resident's current condition.