Failure to Timely Assist Residents with Activities of Daily Living
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for two residents who were unable to perform these tasks independently. For one resident with diagnoses including dysphagia and hypertension, the care plan specified total lift and two-staff assistance for transfers, as well as a preference to be out of bed in a chair after being changed and specific times for getting up and going to bed. Despite these documented interventions, the resident was observed still in bed late in the morning, waiting to be assisted out of bed, with staff confirming the delay. The resident remained in bed for an extended period before two staff members eventually arrived with a lift to assist. Another resident, diagnosed with chronic obstructive pulmonary disease and depression, also required total lift and two-staff assistance for transfers, with a care plan intervention to be offered a rest period in bed after returning from dialysis. This resident was observed with the call light on, requesting to be put back in bed after returning from dialysis and expressing not feeling well. Staff entered the room, turned off the call bell, and left, stating they would get someone to assist. The resident remained waiting for assistance for a significant period before two staff members arrived with a lift to help. In both cases, the care plans were not followed in a timely manner, resulting in delays in providing necessary ADL support.