Failure to Revise Care Plan and Implement Interventions After Smoking Restriction Order
Penalty
Summary
The facility failed to revise the comprehensive care plan and implement new interventions for a resident after receiving a neurologist's order instructing the resident to avoid smoking due to medical risks. The resident, who had diagnoses including dementia, schizoaffective disorder, major depressive disorder, diabetes mellitus, and anxiety, continued to smoke despite the new medical order. The resident's Minimum Data Set indicated moderately impaired cognition and a need for moderate assistance with activities of daily living. The resident was able to make needs known but could not make medical decisions. Interviews and record reviews revealed that the neurologist's order to avoid smoking was not incorporated into the resident's care plan, and no new interventions such as smoking cessation education or behavioral support were implemented. The Interdisciplinary Team did not conduct a conference to address the new order, and there was no documentation of care plan revision or additional support measures. The responsible party expressed concern that the facility was not following the neurologist's order or providing necessary support to help the resident comply. Facility staff, including the RN and DON, acknowledged that the care plan should have been updated and interventions put in place following the new order.