Failure to Provide Required Specialized Rehabilitative Services After Program Discontinuation
Penalty
Summary
The facility failed to provide or obtain specialized rehabilitative services as required for one resident who was previously participating in a restorative program. The resident reported that after the facility discontinued the restorative program, no further rehabilitative services or evaluations were provided, despite active physician orders for evaluation and treatment. The resident's care plan indicated a need for a functional maintenance program due to self-care performance issues following an infraction affecting the left dominant side, but no current interventions were implemented after the program was discontinued. Interviews with facility staff, including the Functional Maintenance Coordinator, DON, and Rehabilitation Director, confirmed that the restorative program was ended and replaced with a functional maintenance program. However, the resident in question was not evaluated or included in the new program, and quarterly assessments were not conducted as required. Staff acknowledged that there was no process in place to ensure continuity of care for residents transitioning from the discontinued program, and the lack of evaluation was attributed to oversight or human error.