F · No harm, potential for more than minimal, widespreadApril 28, 2023
Based on observation, record review, and interview, the facility failed to ensure residents who were trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preference in order to eliminate or mitigate triggers that may cause recurring traumatization for 3 (Residents #24, #91 and #96) sampled residents of 27 (Residents #1, # 6, #15, #16, #20, #23, #24, #26, #27, #28, #33, #35, #38, #42, #50, #58, #63, #66, #71, #72, #85, #91, #95, #96, #103, #105 and #165) sampled residents with positive responses to trauma informed care assessments. The findings are: 1. …