Failure to Provide Timely Rehabilitative Services and Equipment
Penalty
Summary
The facility failed to provide specialized rehabilitative services as required for a resident with multiple diagnoses, including age-related osteoporosis and pathological fractures. A physician's order was issued for the resident to be evaluated and treated for a wheelchair, but the evaluation and provision of an appropriate wheelchair were delayed. The resident reported waiting for physical therapy to obtain a properly fitting wheelchair, and observation confirmed that the current wheelchair was not suitable, with the hand rest positioned at chest level, making it difficult for the resident to use. The physical therapist acknowledged receiving the order three weeks prior but stated that a vendor visit was delayed until there were three residents in need, although the facility could purchase a wheelchair sooner if necessary. The DON indicated that the facility could not purchase equipment for everyone and noted that the delay was attributed to physical therapy. Additionally, the LSW confirmed there was no documentation of a wheelchair evaluation for the resident.