Failure to Provide Range of Motion Care for Resident with Contracture
Penalty
Summary
The facility failed to provide appropriate care and services to maintain or improve range of motion (ROM) for a resident with a left hand contracture. Multiple observations over several days showed that the resident consistently did not have any splints or devices applied to her left hand to address the contracture, despite a care plan indicating a history of CVA and left side hemiparesis with a left hand contracture. Staff interviews revealed that the facility had not maintained a restorative program for some time, and the designated restorative aide was also required to perform regular CNA duties, limiting her ability to provide consistent restorative care, including ROM exercises and application of splints or devices. Record review indicated that the resident had significant functional limitations and impairments to both upper and lower extremities, as documented in the MDS and therapy screenings. Although therapy discharge summaries recommended 24-hour care, there were no restorative or functional maintenance programs in place for the resident at the time of the deficiency. The lack of consistent application of splints or devices and absence of a restorative program contributed to the facility's failure to provide necessary care and services to address the resident's contracture and limited ROM.