Failure to Ensure Timely Physician Visits for Resident with Catheter
Penalty
Summary
The facility failed to ensure timely physician visits for a resident with a catheter. The resident, who had mild cognitive impairment and was dependent on staff for activities of daily living, was admitted to the facility and later hospitalized before being readmitted. A review of the resident's physician progress notes revealed a significant gap in physician evaluations, with no evidence of a physician visit between late August and early November. This deficiency was acknowledged by the Director of Nursing during an interview.
Plan Of Correction
F712/N55 - Physician Visits - Ensure Physicians visits in a timely manner What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. Resident #63 was seen on. The Physician assigned was re-educated on timely documentation and submission to the facility as required. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. Current residents' charts have been audited over the past 30 days and timely Physician visits are in place. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Medical Records have been in-serviced on monitoring timely Physician visits. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Medical Records/designee will audit Physician's progress notes biweekly for timely visits times four weeks and report findings to QAA&C committee for three months or until substantial compliance is met.