Based on policy review, job description review, facility assessment review, medical record review, observation, and interview, the facility failed to ensure
staff had specific knowledge, sufficient competencies and skill sets necessary to provide appropriate care and services to 3 of 4 sampled residents (Resident #1, #2 and #3) with behavioral and mental health needs. Fourteen (14) facility staff including Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPN), Housekeeping Personnel, and a Registered Nurse failed to demonstrate appropriate interventions were implemented to prevent ongoing altercations between Resident #2 and #3, with a history of verbal and physical altercations. …
D · No harm, potential for more than minimal, isolatedJune 29, 2024
Based on policy review, medical record review, and interview, the facility failed to provide services to meet the behavioral needs and implement effective behavior monitoring for 1 of 4 sampled (Resident #166) residents reviewed for behavioral health needs.
The findings include:
1. Review of the facility policy titled Behavioral Health Services, dated 6/2023, revealed .It is the policy of this facility to ensure all residents receive necessary behavioral health services to assist them in reaching and maintaining their highest level of mental and psychosocial functioning .The facility will ensure that necessary behavioral health care services are person-centered .while maximizing the resident's dignity, autonomy, privacy, socialization, independence, choice, and safety .Conditions that… …
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