Failure to Provide Physician-Ordered Range of Motion Services
Penalty
Summary
A resident with a diagnosis of bilateral knee contractures and limited range of motion was not provided with the physician-ordered functional maintenance program intended to maintain or improve knee extension. The resident's care plan included stretching exercises to the bilateral knees while in bed, as well as verbal cues to improve standing posture, with the goal of preventing further contractures. However, a review of the task documentation for the relevant month showed no entries indicating that the stretching exercises or functional maintenance program had been performed as ordered. During interviews, the resident's family member reported that the resident was not receiving any services for his limited range of motion. A registered nurse responsible for the functional maintenance program confirmed that care is documented in the task menu and, upon review, acknowledged that there was no documentation of the required care being completed in the last 30 days. The nurse further stated that if care is not documented, it is considered not to have been done.