Failure to Assist Resident in Obtaining Dentures After Loss
Penalty
Summary
The facility failed to assist a resident in obtaining dentures after the resident's dentures went missing. The resident, who had a history of diabetes mellitus, muscle wasting, atrophy, and anemia, was admitted and later readmitted to the facility. Documentation showed the resident was edentulous and at risk for poor oral intake, with care plans indicating the need for dental assessment and referral as well as good oral hygiene. Despite a dental consult noting the resident's interest in dentures and an order for dental consult and treatment as needed, the resident reported that her request for dentures had not been addressed and that her dentures had been missing for a long time. Staff interviews confirmed the resident no longer had dentures and had difficulty eating certain foods, rarely finishing her meals. The facility's policy required referral for dental services within three days if dentures were lost, or documentation of actions taken and reasons for delay. However, there was no evidence that the facility made a timely referral or provided adequate follow-up to ensure the resident could eat and drink adequately while awaiting dental services. The Social Services Director acknowledged the resident's request for dentures and the potential for weight loss due to the lack of dentures. The DON confirmed that staff are responsible for following up on such requests and recognized the impact of not having dentures on chewing and weight maintenance.