Failure to Complete Ordered Restorative Range of Motion Program
Penalty
Summary
The facility failed to complete a restorative active range of motion (ROM) program as ordered for one resident. Clinical record review showed that the resident was prescribed a restorative ROM program for both upper and lower extremities, with specific instructions for repetitions and frequency. However, documentation revealed multiple instances across June, July, and August 2025 where the program was either marked as not applicable (NA) or lacked any documentation on both day and evening shifts. These gaps in documentation and implementation indicate that the ordered restorative ROM program was not consistently provided as required. The deficiency was identified through clinical record review and staff interviews, and the facility's Nursing Home Administrator and Director of Nursing were made aware of the concerns during a meeting.