Failure to Maintain or Address Decline in Range of Motion for Two Residents
Penalty
Summary
The facility failed to provide appropriate services to maintain or improve range of motion (ROM) for two residents with identified ROM concerns. For one resident, initial assessments indicated no impairment in ROM, but a subsequent quarterly assessment showed a decline with bilateral impairments in both upper and lower extremities. Despite this decline, there was no evidence in the clinical record that the facility addressed the resident's decreased ROM after discharge from physical therapy. Similarly, another resident was assessed as having no ROM impairment on an annual assessment, but a later quarterly assessment documented a decline with bilateral impairments. Physical therapy discharge documentation recommended a walk to dine program for this resident, but there was no evidence that this program was implemented by nursing staff. Interviews with facility staff confirmed that the recommended interventions were not carried out for either resident.