Failure to Implement Dental Care Plan for Resident
Penalty
Summary
The facility failed to implement a comprehensive dental care plan for a resident who required significant dental services. The resident, who was admitted with Parkinson's Disease and had intact cognition, was observed to have crooked and uneven teeth and reported having broken teeth. Although the resident had seen a dentist and had appointments scheduled for oral surgery, there was no evidence in the care plan that addressed the resident's dental needs. Documentation in the medical record indicated plans for a full mouth extraction and the resident's desire for dentures, but these needs were not reflected in the care plan. The resident required substantial to maximal assistance with activities of daily living and had a documented history of poor dental health. Despite multiple dental appointments and referrals, the facility did not develop or implement a dental care plan as required by their own policy and federal regulations. The DON confirmed that the facility should have been aware of the resident's dental issues and that a care plan should have been in place to address these needs.
Plan Of Correction
F 656 Comprehensive Care Plan ELEMENT #1 Resident #19 care plan was updated with a dental care plan. ELEMENT #2 Current residents followed by Health Drive for dental services have the potential to be affected by the deficient practice. Current residents followed by Health Drive were assessed for dental health problems. Any resident identified with dental health problems had a dental care plan reviewed, updated or created. ELEMENT #3 The policy, Care Plan-Comprehensive Revision, was reviewed and deemed appropriate. The policy, Care Plan-Comprehensive Revision remains in place. The IDT was re-educated on the policy, Care Plan-Comprehensive Revision, with emphasis on dental care plans. ELEMENT #4 The Director of Nursing and/or designee will conduct random audits on 5 residents weekly to ensure substantial compliance with dental care plans. Audits will be conducted weekly for four weeks then monthly for two months. Any concerns will be immediately addressed. The results of the audits will be reviewed by the QAPI committee monthly for 3 months for further recommendations. Any area of non-compliance will be addressed. The Administrator is responsible for sustained compliance. Date of Compliance: 7/8/2025