Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to assess and review significant weight loss for a resident, as well as to obtain weekly weights as recommended by the Registered Dietician (RD) and risk management. The resident experienced notable weight loss over several months, with documented losses of 8 pounds (5.6%) in one month, 12.6 pounds (8.5%) over three months, and 26 pounds (16%) over six months. Despite the RD's recommendation for double portions and regular weight checks every four weeks, the facility did not complete the required weekly weights. The Director of Nursing (DON) confirmed that the weights were not performed, stating that weekly weights are discontinued when a resident is considered stable. Additionally, there was no evidence that the physician or responsible party was notified of the significant weight loss.