Failure to Update and Revise Care Plans for Residents with Diabetes and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to review and revise care plans to accurately reflect the current status and needs of several residents. Specifically, for six sampled residents and one supplemental resident with diagnoses including diabetes and physician's orders for insulin, care plans did not include monitoring for signs and symptoms of hypoglycemia and hyperglycemia, nor did they outline interventions to address these conditions. Additionally, one resident with a foot ulcer and enhanced barrier precautions (EBP) in place did not have EBP addressed in their care plan with appropriate problems, goals, or interventions. These omissions were confirmed by an administrative nurse during staff interviews and were not in accordance with the facility's policy requiring individualized, comprehensive care plans.