Care Plan Lacked Inclusion of Behavioral Health Services
Penalty
Fine: $26,685
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 revise a comprehensive care plan to include behavioral health services for one resident who was receiving mental health care via telehealth. Staff interviews confirmed that care plans should address mental health concerns, including both pharmacological and non-pharmacological interventions, as well as any triggers and pertinent behavioral health information. Record review showed that the resident's care plan, which identified a mood problem related to PTSD, included medication administration and monitoring but did not reflect the ongoing telehealth services provided by a mental health professional.