Failure to Implement Restorative ROM Program for a Resident
Penalty
Summary
The facility failed to provide appropriate restorative range of motion (ROM) programs for a resident, identified as Resident 64, to maintain her range of motion. Resident 64 expressed a desire to return home but was concerned about her legs not functioning properly. Despite her ability to use her arms, she had not received any therapy for about a week. Clinical records indicated that she was discontinued from occupational and physical therapy on March 8, 2025, due to limited progress and non-compliance. The occupational therapy discharge summary noted limited active ROM due to general weakness, while the physical therapy discharge summary indicated slight weakness in her bilateral extremities. Both therapy summaries concluded that no restorative program was indicated, and her prognosis to maintain her current level of functioning was excellent with consistent staff support. However, there was no documentation in Resident 64's clinical record that any restorative programs were initiated. An interview with the Nursing Home Administrator confirmed these findings, indicating a failure to implement a range of motion program for Resident 64, as required by the facility's resident care policies and nursing services regulations.