Ever feel like “trauma informed care in senior living” has gone from a buzzword to a real compliance concern? That’s because it has—and for good reason. Survey agencies are zeroing in, and post-acute care providers are being held to higher expectations when it comes to residents with past trauma.
According to CMS guidance, providers must offer trauma-informed care that aligns with professional standards and accounts for each resident’s history and preferences—especially to prevent re-traumatization (CMS, 2020, p. 433). The goal is more than just documentation; it’s about adjusting care to avoid triggers and to support emotional stability.
Federal regulation F742 §483.40(b)(1) goes further. It states that residents with a history of trauma, PTSD, or psychosocial challenges must receive “appropriate treatment and services” to correct those issues or help them reach their best possible well-being. This is outlined in detail in the SOM – Appendix PP, which offers guidance on assessment, care planning, and the ongoing monitoring of services.
If you’re not sure where to start, the Substance Abuse and Mental Health Services Administration (SAMHSA) offers a solid framework for understanding trauma-informed care principles. And this article from MDS Consultants previews how trauma will be addressed in the MDS—giving providers more tools to capture these needs during assessments.
At the end of the day, F742 is all about making sure residents who come in with trauma or psychosocial difficulties aren’t left behind. Whether it’s PTSD or another past trauma, it’s your job to make sure services are person-centered and responsive. The guidance shared in this CMS Compliance Group article makes it clear: individualized care is the standard.
And if you’re looking to dive deeper, take a look at this trauma-informed care addendum, or explore real-world results in this piece on therapy for older adults with PTSD. You can also find additional references in the CMS nursing home regulations portal.
Let’s not overcomplicate it. You don’t have to be a behavioral health expert, but you do need to ensure your care planning reflects the whole person—and that’s what trauma informed care in senior living is all about.
Stay well and stay informed!
