Failure to Address Sexually Inappropriate Behaviors in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, resident-centered care plan addressing all of a resident's needs, specifically omitting a care plan for sexually inappropriate behaviors. The resident in question had a documented history of occasional sexually inappropriate behaviors, as noted in the medical record and acknowledged by a family member during a care plan conference. Despite this, the resident's comprehensive care plan did not include any interventions or strategies to address these behaviors. The facility's policy requires that the comprehensive plan of care be maintained and updated in the electronic medical record to reflect the resident's current status and goals, with reviews at least quarterly or as needed. The responsible RN confirmed during an interview that, although she attended the care plan conference and was aware of the concerns, she did not update the care plan to include the issue of sexual inappropriateness or related interventions. This omission was identified during a review of the resident's care plan with the surveyor.