Failure to Develop and Implement Preventive Foot Care Plan for Diabetic Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a history of foot problems and a diagnosis of Type 2 Diabetes Mellitus. Observations revealed that the resident had skin buildup on both feet, with thickened, discolored, and overgrown toenails. Interviews with a confidential friend indicated concerns about the resident's long toenails and a history of fungal infections, emphasizing the need for preventive foot care to avoid recurrence. A review of the resident's care plan and medical orders showed that there was no care plan or physician order in place for preventive foot care or podiatry services. The Director of Nursing confirmed the absence of a care plan addressing preventive foot care for the resident, despite the facility's policy requiring comprehensive care planning to maintain optimal health and quality of life.