Flourish Supportive Living at Reed

8.515.85.C SUPPORTIVE LIVING PROGRAM INCLUSIONS 2. Person-Centered Care PlanningSLP providers must comply with the Person-Centered Care Planning process. Providers must work with CMAs to ensure coordination of a Client' s Person-Centered Care Plan. Additionally, SLP providers must provide the following actionable plans for all HCBS-BI waiver Clients, updated every six (6) months:a. Transition Planning; andb. Goal Planning.These elements of a Person-Centered Care Plan are intended to ensure the Client actively engages in his or her care and activities, as is able to transition to any other type of setting or service at any given time.Based on interviews and record reviews, the facility (residence) failed to ensure that each participant' s (resident) care plan reflected current personal services needs and preferences along with staff tasks necessary to meet those needs, affecting three sample participants (#1, #3, and #4).Findings include:1. Resident #3 was admitted to the residence on 8/25/22 with a diagnosis of traumatic brain injury (TBI).The care plan documented Resident #3 required redirecting when he had negative attitudes and comments. Staff were required to prompt and cue residents to enforce positive relationships. Staff would not approach the resident from behind.On 4/4/24, Resident #3 received a contract violation, documenting that the resid.. A supportive living program recertification survey was completed on 6/13/24. Deficiencies were cited. Based on interview and record review, the facility (residence) failed to ensure a participant (resident) was protected from all forms of sexual exploitation and freedom from coercion affecting one resident (#3). Specifically, on 4/4/24, Resident #3 reported that Former Staff #6 sent him a picture of her breasts.. The residence did not put measures in place to protect the resident or suspend or transfer the staff member, as the resident reportedly later denied the pictures were from a staff member. The residence continued to schedule Former Staff #6 at the residence, providing care and services to residents until 6/4/24. On 5/22/24, Resident #3 reported a romantic relationship with an unnamed female staff member. The residence did not put measures in place to protect the resident as the resident reportedly later denied the allegation of a romantic relationship with an unnamed female staff member. Subsequently, on 6/4/24, Resident #3 reported to his APS case manager (CM) that he had nonconsensual sexual intercourse and sexual contact with Former Staff #6 and was fearful of reporting. The residence interviewed Former Staff #6, and the staff member stated that the sexual allegations were true. 1. Residence Policies The residence' s Resident Rights policy, dated 9/26/22, read in part: "(The residence) and staff shall observe resident rights in the car..