Failure to Address Severe Weight Loss in Residents
Penalty
Summary
The facility failed to identify and address severe weight loss in a timely manner for three residents, leading to deficiencies in nutritional care. Resident #36 experienced an 8.08% weight loss in one month and an overall 11.7% weight loss over six months. Despite being placed on weekly weight monitoring, this was not consistently performed. The Registered Dietitian (RD) acknowledged the significant weight loss but indicated that weekly weights might have been discontinued prematurely. Resident #13 experienced a 6.6% weight loss in one month and a 12.23% weight loss over five months. The RD's assessment was delayed by 16 days after the resident's readmission, partly due to the resident's hospitalization. The RD noted the resident's meal intake was 75% and recommended nutritional supplements, but the delay in assessment contributed to the deficiency. Resident #9 had a severe 12.8% weight loss in one month, with inconsistencies in receiving prescribed nutritional supplements. Observations showed the resident did not consistently receive Nepro supplements as ordered, and weights were not taken as required after readmission. The RD acknowledged the delay in addressing the weight loss and the lack of consistent weight monitoring, contributing to the deficiency in nutritional care.