F744 — Treatment / Service for Dementia
Failure to ensure each resident with a mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder, receives appropriate, culturally competent, and trauma-informed treatment.
Reg cite · 42 CFR 483.40(b)(3)
18 surveys in corpus
7 states
What surveyors look for
- Trauma-informed care training for direct-care staff
- Care plan interventions tailored to the resident's history and triggers
- Documented attempts to identify and accommodate cultural, religious, and gender-identity preferences
- Behavioral health consults for residents not responding to interventions
Common gotchas
- PTSD diagnosis on chart with no trauma-informed interventions in care plan
- Veterans not screened for PTSD/MST
- Cultural preferences ignored (e.g. same-gender care attempts not documented)
Real survey examples
From CMS-published 2567s in our corpus. Resident identifiers redacted.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Based on record review, interview, facility document review, and facility policy review, it was determined the
facility failed to ensure necessary care and services were provided related to dementia care, as evidenced
by failure to ensure residents were assessed prior to admission to a closed unit to determine if placement
on the unit was appropriate for the resident and failure to ensure sufficient staff wit…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review and interviews, the facility failed to ensure residents who were diagnosed with
dementia received the appropriate treatment and services to attain or maintain the highest practicable
physical, mental and psychosocial well-being for one (#276) of one resident out of 49 sample residents.
Specifically, th…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
The assessment indicated Resident found listening to music he enjoyed, group activities, participating
in his favorite activities, going outside and participating in his religious activities were very important to him.
The assessment indicated that Resident wandered but did not exhibit any other behaviors.
B. Observations
During a continuous observation on [date], beginning at 11:40 a.m. and ending at 12:55 p.m., the
following was observed:
At approximately 12:00 p.m. Resident was eating in the dining area, he w…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
At 3:53 p.m Resident woke up and began to push the entertainment center that was underneath the
TV towards an unknown female resident. Resident stopped right before he pushed it into the unknown
female resident's foot.
-However, staff did not intervene and attempt to offer the resident any meaningful activities to distract him
from moving the furniture.
Resident walked into another resident's room and began to take his pants down to urinate in the other
resident's bathroom. Staff was heard telling him not to use…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
-However, the note failed to document what interventions, if any, staff attempted to use to redirect the
resident.
The [date] behavior note documented that Resident was easily upset when putting chairs on the
table while other residents were still eating. Resident got upset when he was told no and he did not
like it when he was approached with medication and he slapped the nurse on the wrist and said No. He did
eventually take his medication.
The [date] at 12:35 a.m.behavior note documented Resident was having b…
Accepted POC examples
Real accepted-POC examples for this F-tag are not yet in the open corpus. The POC drafter above generates a structurally correct draft from CMS S&C Letter 13-21's four-question schema — edit it to fit your facility's specifics before submission.
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