Failure to Provide Prescribed Passive ROM Program
Penalty
Summary
The facility failed to ensure that a resident with limited range of motion (ROM) received the prescribed treatment and services to maintain or improve ROM. The resident, who was cognitively intact, was assessed to require a passive ROM Restorative Nursing Program (RNP) to both lower extremities, consisting of two sets of 15 repetitions (hip flexion, hip abduction, heel sliders, and ankle pumps) five times a week. However, review of restorative flowsheets showed that over a 52-day period, the passive ROM RNP was only offered or provided on eight out of 36 scheduled days, averaging approximately 1.1 times per week, which was significantly less than the care plan required. The Director of Nursing Services confirmed that the RNP was not provided at the assessed frequency.