Failure to Schedule and Follow Up on Dental Referrals
Penalty
Summary
The facility failed to follow through on recommendations for outside dental consultations for two residents who required specialized dental care. One resident, with a history of multiple sclerosis, paraplegia, and cardiomegaly, was fully dependent on staff for oral hygiene and had documented dental issues including tooth decay and mobile teeth. Despite a dental provider's note indicating the need for an outside dental appointment for specific teeth, the resident was not scheduled for the recommended consultation for several months. Interviews revealed that the staff responsible for scheduling such appointments was unclear about their responsibilities and had not received adequate training on the referral process, resulting in the delay. Another resident, diagnosed with type 2 diabetes, reduced mobility, and requiring a mechanically altered diet, was identified as having significant dental issues, including cavities and broken teeth. The dental provider recommended referral to an oral surgeon for extractions prior to denture fabrication. However, the resident was not scheduled for the necessary dental extractions, and staff interviews indicated confusion and lack of clarity regarding the process for scheduling follow-up appointments. The staff member responsible for appointments had only recently taken on this role and had not been fully trained, contributing to the oversight. Facility policy required assistance with making appointments and arranging transportation for medical and professional services, including dental care. Despite this, the lack of clear procedures and staff training led to failures in ensuring timely dental services for the residents, as recommended by consulting dental providers.