Failure to Provide Restorative Services for Residents with Limited Mobility
Penalty
Summary
The facility failed to provide appropriate restorative services and assistance to maintain or improve mobility for two residents with limited range of motion (ROM) and mobility needs. For one resident with a history of stroke and hemiplegia, the care plan directed staff to provide active and passive ROM exercises, but there was no documentation that these restorative services were actually provided. Despite requests from the resident's representative for therapy screening and restorative services, the facility informed them that such services were unavailable due to staffing issues. The interdisciplinary team recommended therapy evaluation after a fall, but the evaluation and initiation of restorative services were delayed. Another resident, also with a history of stroke and hemiplegia, experienced a decline in function prior to discharge. The resident's representative reported that restorative nursing services were not offered or discussed as an option to help maintain function after therapy services ended. The care plan encouraged participation in activities to promote mobility, but there was no evidence that a restorative program was recommended or implemented by the nursing department after therapy discharge. Interviews with the DON and ADON confirmed that the facility had not had a restorative program for several months and was only able to offer meal assistance during that period. The lack of a functioning restorative program resulted in residents not receiving the necessary services to maintain or improve their mobility, as outlined in their care plans and recommended by the interdisciplinary team.