Failure to Provide Restorative Services as Recommended
Penalty
Summary
The facility failed to provide restorative aid (RA) services to a resident with multiple diagnoses who was severely cognitively impaired and required assistance to maintain their current level of function. Documentation showed that the resident had been recommended for a restorative program following discharge from physical therapy, including specific interventions such as sit-to-stand exercises, use of a transfer pole, and sessions with an Omni Cycle. Despite these recommendations, the resident's electronic health record did not show evidence that the RA services were provided as ordered. Interviews with facility staff revealed a lack of awareness and follow-through regarding the resident's need for restorative services. The Resident Care Manager/Restorative Therapy Manager stated the resident did not meet requirements for a restorative program, while the Director of Rehabilitation confirmed that restorative services had been recommended after physical therapy discharge. The Director of Nursing was not aware that the resident was not receiving the restorative program. This failure to implement the recommended restorative interventions was not in accordance with the facility's policy to maintain residents' highest level of self-care and independence.