Failure to Develop Person-Centered Pacemaker Care Plan
Penalty
Summary
A deficiency was identified when a resident with dementia, legal blindness, and sick sinus syndrome was admitted to the facility with a pacemaker. The clinical record documented the presence of the pacemaker and included a care plan with general goals and interventions, such as monitoring vital signs and reporting symptoms of pacemaker malfunction. However, the care plan did not include specific, person-centered details related to the resident's pacemaker. The care plan lacked essential information such as the pacemaker's type, settings, programmed rate, and battery status. Additionally, there was no documentation of education provided to the resident or family regarding the pacemaker's purpose, function, potential complications, or the importance of follow-up with a cardiologist. The plan also omitted monitoring of skin integrity at the pacemaker site. These omissions were confirmed during interviews with facility staff and during the exit conference.