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F0699
D

Failure to Provide Trauma-Informed Care for Resident With PTSD

Butler, Pennsylvania Survey Completed on 02-05-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyors found that the facility failed to provide trauma‑informed care to a resident with a diagnosis of PTSD. The resident, who also had multiple sclerosis and asthma and was receiving Duloxetine for PTSD and buspirone for anxiety, reported that a male NA repeatedly entered her room around 3:00 a.m. to ask if she needed to use the restroom. The resident stated this made her very uncomfortable and disclosed that she had been in the military and developed PTSD after being raped in the middle of the night. Review of her Trauma Informed Care Evaluation showed no identified triggers, and her care plan also contained no PTSD triggers or related interventions. During interview, the social worker confirmed that the facility failed to provide trauma‑informed care to eliminate or mitigate triggers that could cause re‑traumatization.

See complete original report
Long-term care team reviewing survey readiness and plan of correction

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