Failure to Provide Restorative Services to a Resident
Penalty
Summary
The facility failed to provide restorative services to a resident as per its policy. A resident expressed that he did not receive restorative therapy, which he desired. A Licensed Practical Nurse confirmed not having seen the resident receiving any restorative therapy. The Rehabilitation Manager stated that the resident was not receiving skilled therapy services because he was evaluated to be at his prior level of functioning during the initial assessment. However, the therapy department recommended that the resident receive restorative therapy, and a referral was made to the Director of Nursing. The Director of Nursing was unaware of the referral and confirmed that the resident was not receiving restorative therapy. It was also noted that when the facility was understaffed, Certified Nursing Assistants did not provide restorative therapy. The facility's policy requires all residents to be screened for restorative care under specific conditions, including termination from active therapy, significant change in status, quarterly assessment progress, and nursing referral.