Failure to Ensure Timely Vision Services for Resident
Penalty
Summary
A deficiency was identified when a resident was observed eating breakfast with their eyes closed, not wearing glasses, and using their hands to locate food items. During an interview, the resident confirmed difficulty seeing and was noted to have impaired vision on their most recent MDS assessment, with corrective lenses indicated as being used. The medical record showed an order for ophthalmology evaluation and treatment as needed, and a prior eye exam recommended a comprehensive follow-up in March 2024. Despite these documented needs and recommendations, there was no evidence that the required follow-up eye exam was provided as scheduled. The DON was unable to confirm whether the resident had received the necessary follow-up care, relying instead on a service provider's list of upcoming appointments. It was only after surveyor intervention that the resident was scheduled for an eye appointment, indicating a lapse in ensuring timely access to vision services as required by the resident's care plan and medical orders.