Failure to Provide Timely Podiatry Care
Penalty
Summary
The facility failed to provide timely podiatry care and services to a resident who required assistance with activities of daily living. The resident was admitted with diagnoses including infection/inflammation reaction due to internal joint prosthesis, osteoarthritis, left knee pain, and major depressive disorder. Physician orders on admission included a directive for podiatry services as needed. The resident was cognitively intact and required partial to moderate assistance for daily activities. Medical record review showed no documentation regarding the condition of the resident's toenails or any podiatry visits since admission. Observations revealed that all ten toenails were long, yellow, thick, and pressing against adjacent toes. The resident reported not having seen a podiatrist since admission and expressed a desire for toenail care. An LPN confirmed the condition of the toenails and that the resident had not been seen by podiatry.