Failure to Develop Individualized Dementia 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
Facility staff failed to develop and implement an individualized, person-centered care plan for a resident diagnosed with unspecified dementia and severe cognitive impairment. Clinical record review showed that the resident was admitted with dementia and had a BIMS score of three, indicating severe cognitive impairment. The resident's care plan only included general interventions such as cueing, reorienting, therapy staff as needed, and lab work as needed, without any evidence of individualized interventions tailored to address the resident's specific dementia-related needs. This deficiency was identified through clinical record review and staff interview, and was confirmed during a review with the Director of Nursing.