Failure to Implement Physician-Ordered Seizure Precautions
Penalty
Summary
A deficiency occurred when the facility failed to follow physician orders for seizure precautions for a resident with a history of cerebral palsy, extrapyramidal and movement disorder, and seizures. The resident had a physician's order for seizure precautions starting on 04/02/2025, which included keeping the bed in the lowest position. During observations, the resident was found resting in bed with the bed in a high position, and the Director of Nursing confirmed that seizure precautions were not in place as ordered. The Nurse Practitioner who ordered the precautions also confirmed that the bed should have been in the lowest position as part of the seizure precautions. The facility did not have a policy related to seizure precautions, and staff acknowledged that the required precautions were not implemented for the resident.