Failure to Develop Comprehensive Dementia Care and Activities Plan
Penalty
Summary
The facility failed to develop a person-centered, comprehensive care plan addressing dementia care and activities for a resident with severe cognitive impairment. The facility's policy requires an interdisciplinary team to create care plans that include needs such as ADLs, behaviors, and primary diagnoses. Despite this, a resident admitted with acute kidney failure and dementia did not have a care plan in place for dementia care or activities, as confirmed by review of the clinical record and interviews with staff. Observations over two days showed the resident repeatedly sitting alone in front of a television, with no evidence of engagement in individualized or group activities. A nursing assistant reported that there were no one-on-one activities available for the resident, and the DON confirmed the absence of a care plan addressing dementia care or activities. The deficiency was identified through review of facility policies, clinical records, staff interviews, and direct observation.