F744 · Dementia care

Based on observation, interview and record review it was determined the facility failed to assess, develop, reassess and implement a person-centered care plan for dementia care needs to ensure resident safety for 4 of 4 sampled residents (#s 1, 2, 3, and 4) reviewed for elopement. As a result, Resident 1 left the faciity on [DATE] without staff knowledge, had an incident involving her/his power wheelchair getting stuck outside on [DATE], and on [DATE] left the facility again, which placed the resident at risk for serious injury. Resident 1 lacked a comprehensive assessment and person-centered care plan for her/his dementia with Lewy bodies. There were no interventions developed and implemented to ensure the appropriate supervision and monitoring were in place to prevent an injury. …

South Hills Rehabilitation Center · Oregon

Based on observation, record review, review of facility policy, and resident and staff interviews, the facility failed to provide appropriate dementia care and services for 1 of 1 sampled resident (Resident #1) with a diagnosis of dementia. Failure to develop and implement interventions to address Resident #1's dementia care needs resulted in the resident's inability to achieve her highest level of functioning as well as other residents resident in the facility. Findings include:Review of the facility policy titled Assessment and Plan of Care occurred on 07/01/26. This policy, dated September 2022, stated, . The comprehensive resident assessment . and plan of care will be developed to maintain or improve each resident's mental, psychosocial and physical well-being. …

Garrison Mem Hosp NSG Fac · North Dakota

Based on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by three of three residents reviewed for dementia care (Residents 13, 33, and 47). Findings include: Clinical record review for Resident 13 revealed a diagnosis list that included the need for assistance with personal care and vascular dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety (dementia: a group of symptoms related to loss of memory, judgment, language, complex motor skills, and other intellectual function, caused by the permanent damage or death of the brain's nerve cells, or neurons; vascular dementia: caused… …

Rolling Hills Healthcare and Rehabilitation Center · Pennsylvania

Based on record review and staff interviews, the facility failed to develop a care plan that addressed dementia care for 1 of 3 residents reviewed for comprehensive care plans (Resident #39). The findings included: Resident #39 was admitted to the facility on [DATE] with diagnoses that included Dementia and Insomnia. Review of Resident #39's care plan updated on 8/7/2024 revealed a focus area for dementia was not reflected in the care plan. A review of Resident #39's Nursing progress note dated 9/21/2024 at 11:18 P.M. revealed the resident refused the previous shift nurse to complete wound care. In an interview with Nurse #12 on 9/25/2024 at 12:03 P.M. …

Ahoskie Health and Rehabilitation Center · North Carolina