Failure to Meet Professional Standards in Nursing Services
Penalty
Summary
The facility failed to ensure that nursing services met professional standards of quality for two residents. For one resident with diagnoses including constipation, hypocalcemia, and Vitamin D deficiency, progress notes documented repeated requests for staff assistance, with the resident frequently using the call bell, calling the nurses' station, and flagging down staff in the hallway. Staff described the resident as anxious and continuously making small, individual requests, often immediately after previous needs were addressed. Documentation indicated that staff repeatedly asked the resident to make all needs known at once, but the resident continued to request assistance one task at a time. For another resident with high blood pressure, hyperlipidemia, and end-stage renal disease, progress notes indicated excessive use of the call bell, with the resident requesting assistance multiple times in a short period. Staff documented that the resident was clean, dry, fed, and repositioned, and had received PRN analgesics, but continued to ring the call bell soon after staff left the room. The Director of Nursing confirmed that the facility did not follow standards of professional practice for these residents.