Failure to Update Dental Care Plan After Loss of Dentures
Penalty
Summary
The facility failed to update and revise a resident's dental care plan after the resident's upper dentures went missing. The resident, who had diagnoses including major depressive disorder, type two diabetes mellitus, and schizophrenia, was noted to have moderately impaired cognitive skills and required staff assistance for various activities of daily living, including supervision for oral hygiene. The resident's care plan for dental problems, initiated at admission, included interventions for daily oral care and dental consultations as needed, and originally indicated the resident was wearing full top dentures. After the resident reported her top dentures missing, documentation showed that a dental evaluation was performed and extractions were recommended to prepare for new dentures, but the resident declined further dental procedures. Despite this significant change, the care plan was not reviewed or revised to reflect the loss of the dentures or the resident's decision to decline further dental treatment. Interviews with facility staff confirmed that care plans are required to be reviewed and updated quarterly and after significant changes, but this was not done in this case.