Failure to Provide Timely Podiatry Services
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including schizoaffective disorder, attention deficit hyperactivity disorder, obesity, and tinea unguium, did not receive appropriate podiatry care. The resident was cognitively intact and required supervision or assistance with activities of daily living. During observation, the resident was found to have long, black, and curled toenails on the left foot and long toenails on the right foot. The resident reported that the last podiatry visit for toenail clipping was six months prior and that, despite being on the list to see the podiatrist, was not seen during the most recent visit. The resident also stated that he had informed the program manager of his need for toenail care. Interviews with facility staff confirmed that the resident should have received podiatry care and that there was no documentation of the resident refusing services. The facility's records showed the resident was added to the podiatry list for toenail trimming, but there was no documentation of the resident being seen by the podiatrist as scheduled. The facility's policy requires podiatry services, including toenail trimming, to be made available to all residents, but this was not provided in this case.