Failure to Provide Restorative Services Resulting in Decreased Mobility
Penalty
Summary
A deficiency was identified when a resident with a history of coronary artery disease, heart failure, hypertension, and a colostomy, who was cognitively intact and previously able to walk 150 feet independently, experienced a decline in mobility. The resident was initially able to walk with a walker upon admission and was discharged from therapy in March. After therapy discharge, the resident did not receive restorative services, and staff interviews confirmed that the resident's mobility decreased to the point where all mobility was completed with a wheelchair and the resident had not walked since September. The lack of restorative services was attributed to staffing issues, as the restorative aide was reassigned to floor duties, and the restorative program was not operational due to the absence of necessary handbooks. Additionally, the resident's representative reported that therapy was only available privately until Medicaid coverage began, and the resident did not receive restorative services during this period. The physical therapy screening log indicated that a new screen was scheduled but had not yet been completed at the time of the survey.