Failure to Follow Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to follow a resident's care plan regarding the assignment of caregivers, specifically for a resident with a diagnosis of post-traumatic stress disorder (PTSD) whose care plan indicated that male caregivers were a trigger due to past traumatic events. The care plan, dated September 23, 2023, and supported by the resident's sister's request, specified that the resident should not receive care from male aides. Despite this, documentation showed that on May 1, 2025, a male aide was assigned to the resident, leading the resident to make allegations of abuse. Interviews with both the assigned aide and the resident confirmed that the aide was aware of the restriction and that the resident did not want male aides to assist with care. This deficiency was identified during a review of 15 resident records, with the facility failing to ensure the care plan was followed as required by resident care policies and nursing services regulations. The deficiency centers on the facility's inaction in adhering to the individualized care plan and respecting the resident's mental and psychosocial needs, as documented and communicated by both the resident and their family.