Deficiency in Resident Care Coordination and Restorative Nursing
Penalty
Summary
The facility failed to ensure that Resident 24 received her annual cardiology appointment and remote pacemaker checks. The Director of Nursing (DON) confirmed that the facility staff should have followed up with the cardiology office when they did not follow up with the facility. This oversight indicates a lapse in the facility's responsibility to coordinate and ensure necessary medical appointments and checks for their residents. Additionally, the facility did not provide the required restorative nursing care for Resident 29, who was diagnosed with peripheral vascular disease and hypertension, and had a condition of flaccid hemiplegia on the right side. The clinical records showed that the restorative nursing program tasks for both passive and active range of motion exercises were not completed as prescribed. Specifically, there were multiple days in April 2025 where the exercises were either not completed twice daily or marked as "not applicable," contrary to the expectations of the Nursing Home Administrator.
Plan Of Correction
1. The facility cannot address past missed RNP programs. 2. Therapy department will do a baseline assessment for any adverse reactions from not receiving the RNP for resident 29. 3. Facility will audit residents on a restorative nursing program to identify any baseline opportunities for missed RNP on residents. 4. DON or designee will provide education to nursing staff on providing restorative care as documented in the restorative nursing program. 5. An audit will be conducted by DON or designee on 5 random residents with RNP's weekly x 4 weeks, then 5 random residents with RNP's monthly x 2 months to ensure that all restorative nursing programs are documented as completed. 6. Results of the audit will be taken to the QAPI committee for review of findings and further interventions if warranted.