Failure to Provide Restorative Range of Motion Services
Penalty
Summary
A deficiency was identified when a resident with diagnoses including rheumatoid arthritis, COPD, generalized muscle weakness, and poly-osteoarthritis, who had documented impairments in range of motion (ROM) in both upper and lower extremities, did not receive the recommended restorative nursing program for ROM. The resident had previously been discharged from physical and occupational therapy, with a physical therapy discharge recommendation for a restorative nursing program to maintain or improve ROM. However, there was no documented evidence in the clinical record that such services were provided. Observations confirmed the resident had limited movement in both hands and remained in bed during the survey. Interviews with the resident, the Rehab Director, and the DON revealed that the therapist's recommendation for restorative ROM services was not communicated to the nursing department, resulting in the resident not receiving the necessary services to prevent further deterioration of mobility limitations.