Failure to Assist Resident Out of Bed for Meals as Ordered
Penalty
Summary
The facility failed to ensure that a resident was taken out of bed during mealtimes as ordered by the physician. The resident, who had diagnoses including epilepsy, cerebral infarction, dysarthria, and diabetes mellitus, was dependent on staff for all activities of daily living and had limited range of motion in both upper and lower extremities. Despite a physician order specifying that the resident should be taken out of bed daily during mealtimes, observations over several days showed the resident remained in bed while eating. The care plan did not include the intervention to remove the resident from bed during meals, and staff interviews revealed a lack of awareness of the physician's order. The resident expressed a desire to be taken out of bed to eat if staff would assist, and staff acknowledged the importance of this intervention for the resident's mobility and well-being. The facility's policy required care and services to maintain or improve residents' ability to carry out activities of daily living, including mobility and dining. However, the failure to follow the physician's order and update the care plan resulted in the resident not being provided the opportunity to eat out of bed, potentially impacting her functional abilities.