Failure to Develop Diabetes Management Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with diabetes, which is a requirement according to their policy on Comprehensive Person-Centered Care Plans. The resident, who was admitted in February 2024, had a diagnosis of diabetes and required insulin injections. Despite having active physician orders for blood sugar monitoring and insulin administration, the facility did not create a care plan addressing the resident's diabetes management or their dependence on insulin medications. The deficiency was confirmed during an interview with a licensed nurse, who acknowledged that no care plan was developed for the resident's diabetes and insulin needs. This oversight was identified during a review of the resident's care plan, which lacked any mention of diabetes management, despite the resident's medical condition and treatment requirements.
Plan Of Correction
Residents R80's care plan was updated to reflect diabetes management. A house-wide audit was completed of all diabetic residents to ensure that they have a diabetic care plan in place. Licensed staff will be in-serviced on ensuring that residents have a comprehensive care plan related to diabetes management. The Director of Nursing/Designee will conduct a random audit of 5 residents with diabetes to ensure that a comprehensive care plan related to diabetes management has been developed. This audit will be completed weekly for four weeks and then monthly for three months. This plan of correction will be monitored at the monthly Quality Assurance Performance Improvement meeting until such time consistent substantial compliance has been met.