Failure to Update Care Plans to Reflect Current Resident Care and Services
Penalty
Summary
The facility failed to review and revise comprehensive care plans to accurately reflect the current care and services for two residents. For one resident with diagnoses including diabetes, gastroesophageal reflux disease, and hypothyroidism, the clinical record showed a physician's order for oxygen therapy at 2 LPM via nasal cannula, both routinely and as needed. However, the resident's care plan for cardio and respiratory issues did not include any intervention for the current use of oxygen, indicating that the care plan was not updated to reflect this change in treatment. Another resident, diagnosed with Parkinson's disease, major depressive disorder, and moderate intellectual disabilities, had their anticoagulant medication Eliquis discontinued. Despite this change, the resident's care plan continued to include interventions related to the use of Eliquis, and was not revised to reflect the discontinuation of the medication. The Director of Nursing confirmed during interviews that both care plans were not reviewed or revised to reflect the residents' current care and services, as required by facility policy.