Failure to Provide Timely Dental Services
Penalty
Summary
The facility failed to provide prompt dental services for two residents. One resident, who had a history of heart failure, anxiety disorder, and depression, was identified as having obvious or likely cavities, broken natural teeth, inflamed or bleeding gums, or loose natural teeth during a significant change in condition assessment. The care plan included a referral to a dentist or dental hygienist, and a dental prophylaxis report recommended a six-month follow-up for maintenance. However, there was no documentation that this maintenance was conducted as recommended, and the resident's name was not included on the dental exam list for subsequent visits. Staff interviews confirmed that the resident was not seen by the dental hygienist as scheduled, and communication with the dental scheduler was delayed. Another resident, admitted with a fracture, type two diabetes, insomnia, and chronic pain syndrome, reported not having an upper denture and an ill-fitting lower denture. This resident had not seen the dentist and was unaware of any plans for a dental visit. Dental consult records showed that the resident was not seen on two separate occasions due to not being present in the room. Staff acknowledged that missing these appointments did not meet expectations.