Failure to Provide Trauma-Informed Care for Resident with PTSD
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 provide trauma-informed care for a resident diagnosed with PTSD, depression, and high blood pressure. The facility's policy required individualized care plans that address trauma and PTSD, including identifying and mitigating triggers. However, review of the resident's care plan showed that while PTSD was noted, there was no identification of specific triggers or strategies to avoid them. Interviews with the Social Service Director and the Director of Nursing confirmed that there was no documented ongoing assessment for PTSD and no identification of triggers in the care plan, resulting in a lack of interventions to eliminate or mitigate potential re-traumatization for the resident.