Failure to Revise Care Plans to Reflect Current Resident Needs
Penalty
Summary
The facility failed to revise and update the comprehensive care plans for three residents to reflect their current clinical needs as required by policy. For one resident with end stage renal disease, hypertension, and diabetes, the care plan did not include interventions, goals, or management strategies for a newly prescribed long-term antibiotic for bacteremia. Another resident with dementia, atrial fibrillation, and pain had a physician order for a wander guard, but the care plan was not updated to include this intervention in a timely manner, with a delay of several months before the intervention was added. A third resident with hemiplegia, anxiety, and constipation had a change in tube feeding orders, but the care plan continued to reflect an outdated feeding rate and did not match the current physician order. Staff interviews confirmed that the care plans for these residents were not revised to reflect their current status as required by facility policy and regulatory standards.