Failure to Develop and Implement Comprehensive Dental Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan addressing the dental needs of a resident who was admitted with diagnoses including Parkinson's disease and dementia. The resident became edentulous following the extraction of seven teeth, as documented in a dental consult. Subsequent dental consults indicated the fabrication and trial of full upper and lower dentures, but there was no documentation of the results of the denture trial or a clear plan for obtaining dentures. Despite the resident's significant dental changes and ongoing dental interventions, the clinical record did not contain a care plan reflecting the resident's edentulous status or a timeline and actions for obtaining dentures. Interviews with facility staff confirmed that the resident's comprehensive care plan did not address these dental needs, and it was acknowledged that the facility is responsible for ensuring care plans include all identified problems and necessary services.