Failure to Provide Trauma-Informed, Culturally Competent Care
Penalty
Summary
The facility failed to ensure that a resident who is a trauma survivor received trauma-informed and culturally competent care in accordance with professional standards. Clinical record review showed that the resident, who has paraplegia and depression resulting from surviving a plane crash at age 19, did not have any documentation of trauma screening in his record. Interviews with the resident confirmed his traumatic history, and further interviews with facility staff, including the DON and Nursing Home Administrator, revealed that trauma screenings had not been completed for this resident. The facility only created a policy for trauma-informed care after the deficiency was identified, and there was no evidence that trauma triggers had been assessed or addressed for this resident.