Failure to Provide Bedside Water for Resident at Risk of Dehydration
Penalty
Summary
A deficiency was identified when a resident was not provided with water at the bedside, as observed during a facility survey. The resident, who had a history of constipation, diabetes mellitus, and gastro-esophageal reflux, was noted to have dry mouth and lips and reported not having water since the previous evening. The resident's care plan specifically included interventions to offer and provide adequate fluids, and the nutritional review indicated the resident was at risk for dehydration and weight changes. Despite these documented needs, no water pitcher was present at the bedside during the observation. Interviews with multiple staff members, including CNAs, an LVN, the RN Supervisor, and the DON, confirmed that facility policy and standard practice required residents without fluid restrictions to have water available at all times. Staff described regular hydration rounds and responsibilities for ensuring water was provided, but in this instance, the process failed, resulting in the resident being left without water. Review of facility policies further supported the expectation that residents receive routine hydration care in accordance with their care plans.