Failure to Provide Required ADL Assistance and Repositioning
Penalty
Summary
A deficiency was identified when a resident, admitted for rehabilitation following surgery for a periprosthetic hip fracture and requiring extensive assistance with two-person support for transfers, bed mobility, dressing, toileting, and general hygiene, did not receive necessary care on multiple day shifts. Documentation review revealed that the assigned geriatric nursing assistant (GNA) failed to perform required turning, repositioning, and bowel and bladder care for the resident over three consecutive days. Additionally, complaints were made regarding inadequate staffing, lack of resident changing, turning, repositioning, and unanswered call bells. These findings were based on direct review of the resident's medical record and GNA documentation.