F0657

D

Failure to Update Care Plan for Resident’s Physical Aggression Related to Dementia

Temple, Texas Survey Completed on 02-23-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to review and revise a person-centered care plan to reflect a resident’s current condition and behavioral needs. A male resident with vascular dementia, Alzheimer’s disease, and major depressive disorder was admitted on 02/23/2026. His Quarterly MDS assessment dated 02/18/2026 showed he was unable to complete the BIMS interview and documented the presence of physical aggression. The resident’s care plan, originally initiated in 2024 for cognitive impairment related to dementia, included interventions such as maintaining a consistent routine and caregivers to decrease confusion. However, the care plan dated 02/22/2026 did not include interventions addressing physical aggression related to anger due to dementia that occurred on 02/15/2026.

Interviews with facility staff confirmed that the care plan was expected to reflect current interventions for the behavior noted on 02/15/2026 and that the MDS Coordinator was responsible for updating the care plan. The DON stated that without the updated interventions, the care plan would not show what had been put in place for the resident. The MDS Coordinator acknowledged responsibility for updating the care plan with one-to-one interventions so staff would know how to assist the resident and admitted failing to update the most recent intervention date of 02/15/2026. The Administrator also stated it was expected that the MDS Coordinator would have updated the resident’s behavior interventions on the care plan to ensure the resident’s individual needs would be met. The facility’s policy on comprehensive person-centered care plans requires development and implementation of care plans with measurable objectives and targeted interventions based on identified problem areas and their causes.