Failure to Provide Timely Podiatry Services for Resident with Foot Pain
Penalty
Summary
The facility failed to provide timely podiatry services for a resident who required foot care due to mycotic toenails and an ingrown toenail. The resident, who had a history of muscle weakness and back pain and demonstrated moderate cognitive impairment, was admitted with an order for podiatry evaluation and treatment every 90 days and as needed. Despite a referral to podiatry shortly after admission and repeated complaints of pain from the resident, the podiatrist did not see the resident in a timely manner. Observations revealed the resident's toenail was significantly overgrown and thick, and the resident reported ongoing pain that was not relieved by medication. Staff interviews confirmed that the resident had been requesting podiatry care and experiencing pain for at least one and a half weeks. The facility's policy required prompt assistance in arranging podiatry appointments, including urgent visits if needed. However, the resident remained on the waiting list for podiatry services, and the podiatrist had not responded to the urgent need prior to the scheduled visit. The delay in providing podiatry care resulted in the resident continuing to experience pain and discomfort related to their foot condition.