Brandel Health And Rehab

incident occurred. V14 Memory Care coordinator was in charged in her absence. R3 is admitted on [DATE].

R3 refused trauma screening as indicated in R3's assessment. R3 is a vulnerable resident with cognitive impairment and behavioral issues. No Abuse prevention care plan was initiated upon admission. R3 has abuse allegation report on 8/25/25. No Trauma screening was done. No Abuse prevention care plan was developed. V3 said that she was on vacation when the abuse allegation incident occurred. V14 Memory Care coordinator was in charged in her absence. R4 is admitted on [DATE].

Trauma screening was not done. R4 has abuse allegation report on 9/1/25. No Trauma screening was done. No Abuse prevention care plan was developed. V3 said that she was on vacation when the abuse allegation incident occurred. V14 Memory Care coordinator was in charged in her absence. R5 is admitted on [DATE].

Trauma screening was not done upon admission. R5 is a vulnerable resident with cognitive impairment and behavioral issues. No abuse prevention care plan was initiated upon admission. R5 has abuse allegation report on 3/26/25. No trauma screening was done. No abuse prevention care plan was developed. R6 was admitted on [DATE].

No care plan for abuse prevention. No trauma screening assessment was done upon admission. R6 was sent out to the hospital on 5/23/25 for shortness of breathing and was admitted with diagnosis of hypoxia and ribs fracture.

Facility completed and reported injury of unknown origin on 5/24/25. On 9/9/25 at 12:30PM, Both V2 DON and V3 SSD said that Trauma screening assessment should be done upon admission.

Trauma assessment should be done to the resident after allegation of resident abuse.

Abuse prevention care plan should be formulated after abuse allegation made.

Abuse prevention care plan should also be developed for those vulnerable residents who has cognitively impaired with behavioral issues. On 9/10/25 at 10:37AM V15MDS Coordinator/Care Plan Coordinator said that Trauma screening assessment should be done upon admission. If resident has reported allegation of abuse, the social service should complete resident trauma assessment and develop abuse prevention care plan.

Vulnerable resident who are cognitively impaired, with behavioral issues should be care planned for abuse prevention because resident can react negatively to other resident and the other way around. On 9/10/25 at 12:33PM, V14 Memory Care Coordinator said that she covers for V3 SSD in her absence.

She said that upon admission, they completed resident's trauma screening /assessment.

They use trauma assessment instead of abuse screening.

She was told only do the trauma assessment once upon admission.

She does not update resident's trauma assessment after allegation of abuse.On 9/10/25 at 2:30PM, Informed V1 Administrator and V2 DON of above concerns regarding implementation of abuse prevention program.

Facility's policy on Abuse Prevention Program revised 7/12/23 did not indicated screening of residents as indicated in State Operating Manual.

Facility's policy on Trauma-informed and culturally competent care revised August 2022 indicated: Purpose: To guide staff in providing care that is culturally competent and trauma-informed in accordance with professional standards of practice. To address the needs of trauma survivors by minimizing triggers and or re-traumatization.

Resident screening: 1.

Performed universal screening of residents, which includes a brief, non-specialized identification of possible exposure to traumatic events.Resident Care Planning:1.

Develop individualized care plans that address past trauma in collaboration with the resident and family.

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