Failure to Develop Care Plan for Hearing Loss
Penalty
Summary
A deficiency was identified when the facility failed to develop and implement a comprehensive care plan addressing hearing loss for a resident diagnosed with sensory-neural hearing loss in both ears. The resident, who was cognitively intact as indicated by a BIMS score of 15, reported being hard of hearing and had recently received hearing aids, though they were not provided to him on the morning of the interview. Staff interviews confirmed the resident's hearing difficulties and acknowledged that no care plan had been created to address his hearing impairment, including the absence of specific focus, interventions, or goals related to this diagnosis. Review of the clinical record and audiology consultation further substantiated the resident's hearing loss, yet no corresponding care plan was documented.