Failure to Provide Routine Podiatry Services for At-Risk Residents
Penalty
Summary
The facility failed to arrange and provide appropriate podiatry services for two residents identified as being at risk and in need of specialized foot care. One resident, with a history of anxiety, depression, and difficulty walking, had previously received podiatry care for long, thickened, and painful toenails, with recommendations for ongoing routine debridement and antifungal treatment. Despite a documented need for follow-up podiatry appointments, there was no evidence in the medical record that these follow-up visits occurred. The resident's care plan indicated a need for assistance with grooming and nail care, but there was no documentation of continued podiatry involvement as recommended. Another resident, diagnosed with Type 2 Diabetes Mellitus with diabetic polyneuropathy and nail dystrophy, reported that his toenails were extremely long and sometimes painful, and that it had been some time since anyone had addressed them. Although this resident had previously received podiatry care with recommendations for routine follow-up, there was no evidence of ongoing podiatry services. Facility staff interviews confirmed that diabetic residents should be seen by podiatry, but neither of the two residents were listed on the facility's podiatry roster, and the Social Services Director acknowledged that there had not been a podiatry provider in the facility for some time.