Failure to Develop Person-Centered Care Plan for Diabetes Management
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for a resident, identified as Resident R38, who was admitted with diagnoses including diabetes, high blood pressure, and depression. The facility's policy requires the development of a comprehensive care plan that includes measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs. However, a review of the clinical record revealed that no such care plan was developed for Resident R38 to address interventions related to diabetes care. Resident R38's Minimum Data Set (MDS) indicated that the resident received insulin injections daily, and physician orders were in place for glucose gel and Humulin R insulin administration. Despite these medical needs, the clinical record lacked a person-centered care plan addressing diabetes management. This deficiency was confirmed during an interview with the Registered Nurse Admission Coordinator, who acknowledged the absence of person-centered interventions for diabetes in the resident's care plan.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. F-0656 1. RNAC/Designee completed diabetic comprehensive care plan on [R] 38 12/4/2024. 2. RNAC/Designee completed audit on 12/4/2024 of current diabetic residents to have a diabetic comprehensive care plan. 3. RNAC/Designee will audit new admissions with diabetes to have a comprehensive diabetic care plan q-day weekly x 2 weeks, then monthly x 3 months. 4. RNAC educated by DON/Designee on diabetic comprehensive care plans.