Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Based on interviews and document review, the facility failed to ensure that a resident who had signs of suicidal ideation received the care and services necessary to reach and maintain the highest level of mental and psychosocial functioning for 1 of 3 residents reviewed for mood/behavior (Resident #1).
Findings:
On 9/13/22 the Department of Licensing and Certification received a complaint from an anonymous source indicating that he/she saw a Facebook (social media) post indicating that a resident was seen beside the road trying to wheel him/herself into traffic in an attempt to kill him/herself. …
D · No harm, potential for more than minimal, isolatedJune 4, 2026
Based on interviews, document review, the facility's Suicide Precautions policy and the facility's Person Centered Care Plan policy review, the facility failed to ensure that a resident who had signs of self-harm and suicidal ideation received the care and services necessary to reach and maintain the highest level of mental and psychosocial functioning for 1 of 1 residents reviewed for mood/behavior (Resident #92).Findings:Review of the facility's Suicide Precautions revised 3/20/26, notedProcedure:1. Evaluate patients with suicidal behavior or ideation.2. Notify physician/advanced practice provider (APP) if assessment indicates patient is at risk for suicide. …
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