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F0688
D

Failure to Provide Required Equipment and Restorative Services for Mobility

Bremerton, Washington Survey Completed on 05-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident with paraplegia, who was dependent on staff for transfers and required a Hoyer lift, was not provided with the necessary equipment to maintain or improve mobility. The resident had been requesting access to a standing frame for several months, but the device had been loaned to a sister facility and was not returned in a timely manner. Despite communication between nursing and therapy staff regarding the resident's need for the standing frame to assist with mobility, the equipment remained unavailable for an extended period. The resident expressed ongoing frustration about the lack of access to the standing frame, and observations confirmed that the device was not present or set up for use during multiple visits. Additionally, the resident's care plan did not include specific interventions, exercises, or therapy to maintain or improve mobility, nor did it reflect the resident's preference for a restorative program utilizing the standing frame. The lack of appropriate equipment and individualized care planning resulted in the resident not receiving restorative services necessary to maintain or improve range of motion and mobility.

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