Failure to Provide and Document Oral/Denture Care for Residents Requiring Assistance
Penalty
Summary
The facility failed to provide assistance with oral and denture care for two residents who required help with activities of daily living (ADLs). For one resident with diagnoses including Parkinson's disease, dementia, and muscle weakness, records indicated a need for set-up or clean-up assistance with oral hygiene and partial to moderate assistance with transfers. The resident had upper partial dentures and required staff support for denture care. However, there was no documentation that denture care was provided during the month of November, and an incident occurred where the resident's partial denture went missing and was suspected to have been swallowed, as noted by the resident's spouse and staff. Another resident, diagnosed with dementia and dysphagia, reported that staff did not consistently remove and soak her dentures overnight, sometimes forgetting to do so. This resident required assistance with oral hygiene and had a broken or loosely fitting denture, according to her care plan and MDS assessment. Record review showed no documentation of oral or denture care being provided during a 30-day period. Staff interviews confirmed that CNAs were responsible for providing and documenting oral care, including denture cleaning and overnight soaking, but this was not consistently performed or recorded.