Care Plan Omission for Corrective Lenses
Penalty
Summary
The facility failed to ensure that a comprehensive care plan addressed the use of corrective lenses for a resident who required them. Record review showed that the resident had a diagnosis of age-related nuclear cataracts and required corrective lenses, as documented in the Minimum Data Set (MDS). However, the resident's care plan did not include any information regarding vision issues or the need for corrective lenses, despite this being identified in the resident's assessment. Interviews with facility staff, including an LPN, the MDS Coordinator, and the Director of Nursing, confirmed that impaired vision and the use of corrective lenses should have been included in the care plan. The absence of this information meant that staff were not properly informed of the resident's needs related to vision and corrective lenses, which was inconsistent with the facility's policy requiring comprehensive, person-centered care plans that address all identified needs.