Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to develop and implement an individualized, person-centered care plan to provide trauma-informed care for a resident who had been newly diagnosed with Post-Traumatic Stress Disorder (PTSD). A review of the resident's clinical record showed that the care plan in effect did not identify the resident's PTSD symptoms, triggers, or include resident-specific interventions to minimize triggers or prevent re-traumatization. The deficiency was confirmed through staff interview, which revealed the facility could not demonstrate that culturally competent, trauma-informed care was provided in accordance with professional standards of practice or that the resident's experiences and preferences were considered to eliminate or mitigate triggers related to PTSD.