Failure to Implement and Document Physician-Ordered ROM Device
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency was identified when staff failed to implement and document an orthopedic surgeon's order for a Dynasplint device to maintain or improve range of motion in a resident with heart failure, osteoarthritis of the right hand, and vision loss. The resident was alert, dependent on staff for activities of daily living, and had a limitation in range of motion in one arm. The order specified that the Dynasplint should be applied to the right elbow for 30 minutes three times daily after meals, as noted in the occupational therapy treatment plan. However, there was no documented evidence that staff ensured the Dynasplint was in place as ordered. This was confirmed by the Administrator during an interview.