Failure to Provide Ordered Foot Care and Podiatry Services
Penalty
Summary
A deficiency was identified when a resident with diagnoses including encephalopathy and ischemic cardiomyopathy, who was dependent on staff for care and had mild cognitive impairment, did not receive appropriate foot care as ordered. The resident had a physician's order for nursing staff to schedule a podiatry clinic visit for mycotic toenails, but there was no documented evidence that this was done. Observation revealed the resident's toenails were discolored, thick, long, and jagged, and the Director of Nursing confirmed the resident was not scheduled with the podiatrist despite the podiatrist being available weekly at the facility. This failure to provide the ordered foot care and schedule the resident for podiatry services resulted in the resident not receiving necessary treatment for their mycotic toenails.