Failure to Provide and Document Assistive Device Use for Resident with Limited Mobility
Penalty
Summary
A deficiency occurred when a resident with a history of stroke, hemiplegia, and aphasia, who was admitted to the facility, did not receive appropriate services and equipment to maintain or improve mobility. The resident was observed in bed without a hand splint, although a hand splint was present in the bedside stand. The resident had previously been discharged from therapy to a Rehab Restorative transition program, which recommended the use of a right resting hand splint during the evening and removal in the morning. However, a review of the resident's current physician orders and care plan revealed no documentation or orders for the use of the right resting hand splint. Staff interviews confirmed that the recommendations from the Rehab Restorative Transition Program were not processed, and there was a failure in the facility's process for transitioning residents from rehab to the long-term care unit. This resulted in the resident not receiving the necessary equipment and assistance as outlined in facility policy and the resident's care needs.