Failure to Provide Consistent Rehabilitative Services per Care Plan
Penalty
Summary
The facility failed to provide consistent specialized rehabilitative services as required by the care plan for a resident admitted with a fractured femur and legal blindness, who was moderately cognitively impaired and required extensive assistance with activities of daily living. According to the care plan and therapy orders, the resident was to receive occupational therapy (OT) and physical therapy (PT) five times per week for four weeks. During the certification period, the resident received only nine OT visits and fourteen PT visits, which was eleven OT visits and six PT visits fewer than planned. The resident was notified that insurance coverage would end and was discharged before the end of the planned therapy period. The administrator confirmed that all residents should receive specialized services according to their care plan.