Failure to Update Care Plan With Resident’s Gender-Specific Care Preference
Penalty
Summary
The facility failed to revise a resident’s care plan to reflect updated care preferences after a reported incident involving staff-resident interaction. The resident, admitted with unspecified dementia of unspecified severity with behavioral disturbances, reported that a male staff member attempted to kiss her forehead. Following this report, the facility documented in a 5‑day complaint narrative that only female staff were to provide care to this resident. However, review of the resident’s care plan revision dated 03/03/26 showed that this intervention—limiting care provision to female staff—was not added to the care plan. During interview, the DON confirmed that the resident’s care plan had not been revised to include this intervention, despite the change in the resident’s care preferences.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.