Failure to Provide Interventions for Residents with Limited Range of Motion
Penalty
Summary
The facility failed to provide necessary interventions and positioning devices for two residents with limited range of motion, leading to further decrease in their range of motion and contractures. One resident, admitted with multiple diagnoses including hemiplegia and hemiparesis, was found without a splint for her contracted left hand, despite her care plan identifying limited range of motion. The care plan lacked specific interventions for passive or active assisted range of motion exercises and did not specify the use of a positioning device to prevent further contractures. Another resident, also with hemiplegia and hemiparesis, was found with a flexion contracture in her left hand and stated she was supposed to have a splint, which was not provided. Her occupational therapy evaluation noted a contracture but indicated that nursing was managing it, yet her care plan did not address interventions for her decreased range of motion or the need for a positioning device. The facility's policy on resident mobility and range of motion was not followed, as it required treatment and services to prevent further decrease in range of motion and the provision of necessary equipment.