Failure to Provide Required Rehabilitative Therapy Sessions
Penalty
Summary
The facility failed to provide the required specialized rehabilitative services for one resident who had been readmitted with a primary diagnosis of stroke. According to the resident's physical therapy (PT) and occupational therapy (OT) evaluations, the plan of care required three sessions per week for eight weeks, totaling 24 sessions each for PT and OT. Insurance authorization was obtained for the full course of therapy. However, documentation showed that only 16 PT sessions and 14 OT sessions were completed during the treatment period. Interviews with the Rehab Director confirmed that the shortfall in therapy sessions was due to staffing issues, which prevented adherence to the scheduled number of sessions. The resident's collateral contact also reported that the resident did not receive enough therapy services while in the facility. The facility's administrator stated that the expectation was for therapy staff to provide the required treatment sessions as outlined in the resident's care plan.