Failure to Update Care Plans for Changes in Resident Condition
Penalty
Summary
The facility failed to update and revise care plans to reflect the specific care needs of three residents following significant changes in their health status. For two residents who tested positive for Norovirus, the care plans did not include goals or interventions related to their positive Norovirus status, despite physician documentation and lab results confirming the diagnosis. Additionally, another resident with a new physician order for an indwelling urinary catheter did not have corresponding goals or interventions added to their care plan to address this new care need. These deficiencies were confirmed through review of facility documents, clinical records, and staff interviews. The Director of Nursing and a Registered Nurse acknowledged that the care plans were not revised as required to address the residents' updated conditions, including Norovirus infection and the use of an indwelling urinary catheter. The facility's own policy requires ongoing assessment and revision of care plans as residents' conditions change, which was not followed in these cases.