Failure to Support Resident's ADL Abilities by Not Following Out-of-Bed Orders
Penalty
Summary
A deficiency occurred when a resident with diagnoses including peripheral vascular disease, chronic kidney disease, and diabetes mellitus was not provided with necessary care and services to maintain their ability to perform activities of daily living (ADLs). The resident was observed lying in bed for three consecutive days during the day shift and was not taken out of bed as permitted by a physician's order. The resident's Minimum Data Set indicated a dependence on staff for personal hygiene, showering, and dressing, and a preference for participating in favorite activities and spending time outdoors. Despite these needs and preferences, the resident remained in bed from morning until late afternoon on multiple days. Interviews and record reviews revealed that there was no specific schedule in place for taking the resident out of bed, and staff confirmed that the resident had not been out of bed during the observed period. The facility's policy required care and services to be provided to maintain or improve residents' ability to carry out ADLs and to prevent or minimize functional decline. The lack of adherence to the physician's order and facility policy resulted in the resident not receiving appropriate support to maintain their functional abilities.