Failure to Provide Sufficient Fluids to Residents
Penalty
Summary
The facility failed to provide sufficient fluids to two residents observed for hydration. One resident, who had no fluid restrictions and was capable of making decisions, was found without a water pitcher in her room and expressed a desire for iced water. She was observed with dryness to her mouth, and a CNA confirmed the absence of a water pitcher. Medical records indicated she had diagnoses including schizoaffective disorder, mood disorder, and anxiety. Another resident, also without fluid restrictions and no cognitive impairment, reported that staff did not refill his water pitcher, which was found empty during observation. An LVN verified the pitcher was empty, and a CNA stated he would refill it when he could. This resident had a history of stroke, Parkinson's disease, and high blood pressure. These observations and interviews confirmed that the facility did not ensure water pitchers were available and refilled as needed for these residents.