Failure to Implement Care Plan for Feeding Assistance and Timely Skin Integrity Interventions
Penalty
Summary
The facility failed to implement the care plan for a resident who was documented as totally dependent on staff for eating. A review of meal documentation from July through September revealed numerous instances where the resident's need for total assistance during meals was not recorded as required. The Director of Nursing (DON) confirmed that the care plan regarding feeding assistance was not implemented, as the documentation did not reflect the resident's dependent status for multiple meals over an extended period. Additionally, the facility did not develop or implement appropriate interventions for impaired skin integrity in a timely manner. The resident developed a deep tissue injury (DTI) to the right heel, and skin integrity interventions such as floating the heels and a turn and reposition schedule were not added to the care plan until after the injury was identified. The DON confirmed that these interventions were not in place prior to the discovery of the DTI, indicating a delay in care planning and implementation for skin integrity.