Failure to Provide Routine Dental Services
Penalty
Summary
The facility failed to offer routine annual dental services to a resident whose payor source was Medicaid. The resident, identified as Resident 23, was admitted to the facility on September 7, 2018. A review of the resident's clinical record revealed that from November 16, 2022, until October 20, 2024, the facility did not offer dental services to the resident. This oversight was confirmed during an interview with the Director of Nursing on November 30, 2025. Additionally, the resident experienced a medical issue related to dental care. On July 31, 2024, the resident complained of left-sided facial pain, and the facility's contracted CRNP noted new orders for Clindamycin to treat parotitis, a serious gum infection. This incident highlights the facility's failure to provide necessary routine dental services, which may have contributed to the resident's dental-related health issue.
Plan Of Correction
Resident 23 routine dental service has been scheduled. To identify other residents that have the potential to be affected, the Social Service Director will complete a list of current long-term residents' last annual dental appointment and schedule each resident's routine dental services as they become due from the last routine dental appointment. To prevent this from re-occurring, the Social Service Director will maintain a spreadsheet of current long-term residents' last routine dental appointment and ensure the next annual routine is scheduled timely each year. To monitor and maintain compliance, the Social Service Director will report at the monthly QAPI meeting the residents who are scheduled in the upcoming month to have routine dental services. The spreadsheet will be audited by NHA/designee weekly times 4 weeks and then monthly times 2. The results of the audits will be forwarded to the QAPI committee for further review and recommendations.