Failure to Provide Restorative Nursing Services as Recommended by Therapy
Penalty
Summary
The facility failed to provide restorative nursing care and services as recommended by the therapy department for two residents. For one resident, the occupational therapy discharge summary recommended a restorative bed mobility program to maintain the current level of functioning, but there was no documentation in the clinical record indicating that restorative nursing was provided. The DON confirmed that the resident did not receive restorative nursing as recommended and acknowledged that the facility did not have a restorative nursing program in place at the time. For another resident, the physical therapy discharge summary indicated that the resident was discharged from therapy with a recommendation for a restorative nursing program due to ongoing risks such as knee buckling and fluctuating respiratory deficits. The resident reported not having therapy for a while and expressed interest in receiving it. The Rehabilitation Director stated that the resident was recommended for restorative care but was unaware that the facility lacked a restorative program. The DON confirmed that the facility had not had a restorative program for several months, despite facility policy stating that restorative nursing services should be provided to encourage and enable residents to be as independent as possible.