Failure to Replace Missing Hearing Aids for Resident with Severe Cognitive Impairment
Penalty
Summary
Staff failed to assist a resident with severe cognitive impairment in replacing missing bilateral hearing aids, resulting in the resident being observed multiple times without hearing aids and unable to engage in conversation due to hearing difficulties. The resident's clinical record indicated the presence of bilateral hearing aids and an audiology consult order, but there was no documentation of any appointment being scheduled to replace the missing devices. Interviews with staff revealed a lack of awareness regarding the loss and replacement of the hearing aids. The unit manager acknowledged the hearing aids had been missing for some time and that no action had been taken to replace them. Nursing and CNA staff were either unaware of the missing aids or did not know when they went missing, and the social worker stated it was only recently brought to her attention. The facility's appointment records did not show any effort to arrange for replacement hearing aids.