Delayed Provider Response and Care for Change in Resident Condition
Penalty
Summary
A deficiency occurred when a resident with a history of cerebral infarction, dysphagia, and epilepsy experienced a change in condition, including chills, a low-grade fever, and a cough. The nursing staff contacted the resident's primary care service (PCS) multiple times to report the change and request further orders, but there were significant delays in receiving responses and new orders. The resident's daughter requested immediate hospital transfer, but staff informed her that PCS approval was required, and both staff and the daughter experienced prolonged periods without a response from the PCS. During this time, the resident's symptoms persisted, and care was not provided in a timely manner according to the resident's needs and preferences. Documentation shows that orders for additional treatments, such as nebulization, were not received until days after the initial change in condition was reported. Interviews with staff and the Director of Nursing confirmed that the delay in provider response affected the resident's care. The lack of timely intervention and communication with the provider likely resulted in the resident experiencing unnecessary discomfort and a worsening of her condition.