Facility Assessment Lacked Ventilator Services for Resident Needs
Penalty
Summary
The facility failed to review and revise its Facility Assessment to ensure it included all necessary resources to meet the needs of its residents, specifically omitting ventilation services. The Facility Assessment, last revised and reviewed in April 2025, did not account for residents requiring ventilator support. Record review showed that one resident had a physician's order for a Trilogy Non-invasive ventilator to be used at bedtime or while napping, but the resident reported using the ventilator continuously, only removing it for cleaning or hose changes. Additionally, an LPN stated they had not received direct training from the facility on the use of the Trilogy Non-invasive ventilator. The Regional Nurse Consultant confirmed that the Facility Assessment should have been updated to include ventilator services.