Failure to Provide Timely ADL Assistance and Repositioning
Penalty
Summary
A deficiency was identified when a resident was left in a chair for approximately 4.5 hours without being repositioned, toileted, or checked for incontinence. Documentation showed that after therapy, the resident was returned to their room at 11:00 AM, instructed to sit in a chair for one hour, and given a call bell to alert staff when ready to return to bed. However, there was no record of staff responding to the resident's needs during this period. The resident's family member called the facility at 3:15 PM, reporting that the resident had been left in the chair since early morning and that no one had responded to the call bell. Further review confirmed that the resident was not put back to bed until 3:21 PM, with no documentation of any checks, repositioning, or toileting during the interval.