Failure to Provide ADL Assistance to Dependent Resident
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) to a resident who required help due to multiple medical conditions, including a displaced midcervical fracture of the left femur, respiratory failure, chronic obstructive pulmonary disease, and hypertension. Record review showed no documentation that the resident received assistance with ADLs such as bed mobility, transfers, eating, toileting, bathing, or incontinence care over a two-day period prior to discharge. Family members reported that during visits, the resident's clothes had not been changed, she had not received help with eating, and was left lying flat while eating, resulting in food on her clothes and face. The administrator confirmed the absence of documentation for ADL assistance on the specified dates, and the facility was unable to provide a policy for ADL care when requested by the surveyor. This deficiency was identified during a complaint investigation and affected one resident out of six reviewed for ADL assistance, with a facility census of 71.