Inaccurate Documentation of Elopement Risk Assessment
Penalty
Summary
The facility failed to ensure complete and accurate documentation for a resident assessed for elopement risk. Upon admission, the resident, who had a diagnosis of Alzheimer's Disease and a BIMS score indicating moderate cognitive impairment, was required to be evaluated for elopement risk using the facility's Elopement Risk Tool Assessment. The resident's care plan identified them as being at risk for elopement due to dementia and noted the use of a wander prevention band. However, the Elopement Evaluation Assessment tool incorrectly indicated that the resident had no diagnosis of dementia or cognitive impairment. This discrepancy was confirmed during an interview with an LPN, who acknowledged that the resident did have a standing diagnosis of Alzheimer's dementia and that the assessment tool was coded incorrectly.