Failure to Provide Follow-Up for Cataract Surgery Recommendation
Penalty
Summary
The facility failed to ensure that a resident received appropriate follow-up for vision treatment and services as recommended by an eye care professional. The resident, who had a history of diabetes and was diagnosed with bilateral age-related cataracts, was advised to undergo cataract surgery according to an eye exam summary. However, there was no documentation that the facility scheduled or followed up on the recommended surgery. The resident, who was cognitively intact, reported that their vision was poor and that no one had discussed the surgery with them since the initial recommendation. Staff interviews revealed that the responsibility for scheduling follow-up visits typically fell to the unit manager, but due to staff turnover and the absence of a unit manager, the follow-up was not completed.