Failure to Revise Care Plans for Resident Preferences and Medication Changes
Penalty
Summary
The facility failed to revise the comprehensive care plans for two residents to accurately reflect their choices and changes in medication dosages. For one resident with a suprapubic catheter, the care plan did not document the resident's refusal to have a privacy cover placed on the urine collection bag, despite the resident and the DON confirming this preference during interviews. The care plan interventions listed several catheter-related tasks and precautions but did not initially include the resident's choice regarding the privacy cover. For another resident, the care plan was not updated to reflect changes in prescribed medications. Physician orders showed multiple changes in the dosage and administration schedule for Seroquel (Quetiapine Fumarate) and Hydroxyzine (Vistaril), including a switch from as-needed to scheduled dosing. However, the care plan continued to reference outdated medication regimens and did not reflect the current orders. The DON confirmed that the care plan was not revised to match the updated medication orders.