Failure to Provide Restorative Program for Residents at Risk of Physical Decline
Penalty
Summary
The facility failed to provide a restorative program for three residents who were at risk of physical decline due to their medical diagnoses and risk of falls. Clinical record reviews and care plans for these residents indicated the need for interventions such as encouraging exercise, providing opportunities for physical activity, and therapy evaluations. Despite these documented needs, observations and interviews revealed that none of the residents were participating in a restorative program, and their requests to use exercise equipment or participate in exercises were denied due to lack of staff or program availability. One resident with chronic obstructive pulmonary disease, pain, diabetes, and spinal stenosis expressed a desire to use the exercise bike to help with leg pain and mobility but was told he could not use it without staff supervision, which was unavailable. Another resident with cerebral palsy and mobility issues reported that he previously used the exercise bike but was no longer able to do so because the facility lacked staff to oversee the activity. He felt he was getting weaker as a result. A third resident with morbid obesity and respiratory failure also wanted to use the therapy room equipment but was similarly denied due to staffing shortages. Staff interviews confirmed that there was no restorative program in place at the facility, and the occupational therapist stated that although she had identified residents who would benefit from such a program, it had not been implemented. The facility's own policy required restorative nursing care to promote safety and independence, but this was not being followed. The administrator acknowledged the absence of a restorative program and indicated that other issues had taken priority.