Failure to Provide Restorative Care as Care Planned for Residents with Limited ROM
Penalty
Summary
The facility failed to provide restorative care services as outlined in the care plans for two residents with limited range of motion (ROM) and mobility issues. One resident, who was unable to complete a cognitive assessment and had diagnoses including muscle wasting, contracture of the left hand, and anoxic brain damage, was care planned to receive bed mobility and passive range of motion (PROM) exercises at least 2-3 times per week. However, documentation showed that these exercises were only provided on two days during the month of June. The Director of Nursing (DON) confirmed that only two days were marked for restorative care for this resident in that month. Another resident, who was cognitively intact and had hemiplegia and hemiparesis following a cerebral infarction, was also care planned to receive bed mobility and PROM exercises at least 2-3 times per week. Similarly, records indicated that this resident received the prescribed exercises only on two days in June. The DON confirmed the lack of restorative care documentation for this resident as well and acknowledged that the facility did not have a restorative care policy in place.