Failure to Address Resident Romantic Relationships in Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans addressing the needs of residents involved in consensual romantic relationships. Specifically, for four residents with varying degrees of cognitive impairment and complex medical histories—including dementia, Alzheimer's, Parkinsonism, bipolar disorder, heart failure, and other conditions—there was no evidence in their care plans that their desire or involvement in romantic relationships with other residents was assessed or addressed. Documentation showed that while some guardians were informed and expressed no objection to the relationships, the care plans did not reflect any interventions, objectives, or timetables related to supporting or monitoring these relationships as part of the residents' psychosocial needs. Review of clinical records, progress notes, and staff interviews confirmed that the facility's interdisciplinary care planning team did not include the residents' romantic relationships in their care plans, despite clear evidence of such relationships and, in some cases, guardian awareness and approval. The deficiency was acknowledged by facility leadership, who confirmed that care plans for these residents did not address this aspect of their care, as required by facility policy and regulatory standards.