Failure to Implement Restorative Nursing Program for Resident with Limited Mobility
Penalty
Summary
The facility failed to consistently provide restorative nursing services as planned for a resident with Alzheimer's disease and muscle atrophy. The resident was admitted with significant cognitive impairment and required substantial to maximal assistance for mobility. After a period of physical therapy, the resident was discharged with recommendations for a Range of Motion (ROM) Restorative Nursing Program (RNP) to reduce contractures in the lower extremities. However, there was no evidence that the RNP was included in the resident's care plan or that the program was implemented as recommended. A review of the resident's clinical record, care plan, and nursing documentation revealed no documentation of the restorative program being carried out. Additionally, there was no indication that licensed staff were aware that the RNP was not being implemented as planned. During an interview, the Nursing Home Administrator was unable to provide evidence that the facility had consistently implemented the restorative nursing program to maintain the resident's functional abilities and prevent decline.