Failure to Update Care Plan Following Change to NPO Diet Status
Penalty
Summary
The facility failed to update a resident's care plan to accurately reflect a change in diet status. Medical record review showed that the resident had a current diet order of NPO (nothing by mouth) for diet type, texture, and consistency. However, the resident's care plan still included interventions such as providing a lid on hot beverages, offering nutrition and hydration during checks, and allowing caregivers or family to feed pureed foods as snacks. During staff interviews, the DON confirmed that the care plan was inaccurate and that the resident had not eaten anything, while a corporate RN acknowledged the care plan issue. This discrepancy between the resident's current NPO status and the interventions listed in the care plan demonstrates a failure to update the care plan following a significant change in the resident's dietary needs.