Failure to Monitor and Document Sexual Behaviors
Penalty
Summary
The facility failed to ensure proper monitoring and documentation of behaviors for a resident who had a history of stroke, lung disease, and falls. The resident was involved in an incident where he inappropriately touched another resident without consent. Documentation showed that the resident admitted to the behavior and was questioned about increased sexual drives, to which he was unsure, and he refused a transfer to a Behavioral Health Unit. The facility physician was notified and prescribed medication to address hypersexual behaviors. Despite the prescription of Medroxyprogesterone to decrease sexual drive, the resident's Medication Administration Record and Treatment Administration Record did not include any monitoring of sexual behaviors. There was no documentation of behavior monitoring by nursing, social services, or nursing assistants, and the resident's whereabouts were not tracked to prevent further incidents. The resident's room was located near rooms occupied by female residents, increasing the risk of recurrence. The Director of Nursing confirmed the lack of proper monitoring and documentation for this resident.