Failure to Develop and Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive care plans that addressed the specific needs of two residents as identified in their comprehensive assessments. For one resident with vascular dementia, syncope, and a history of stroke, clinical records showed memory impairment and wandering behavior, with an elopement risk assessment indicating the use of an alert bracelet. However, there was no documented evidence that the care plan included interventions to monitor elopement risk, wandering, or the use of the alert device. For another resident with dementia, insomnia, wandering, restlessness, and agitation, who primarily spoke Spanish and rarely understood English, the MDS Care Area Assessment summary indicated that communication should be addressed in the care plan. Despite this, there was no documentation of interventions to address the resident's communication barrier in the care plan.