Failure to Provide Scheduled PT and OT Services per Care Plan
Penalty
Summary
The facility failed to provide specialized rehabilitative services, specifically Physical Therapy (PT) and Occupational Therapy (OT), as outlined in the care plans for two residents. One resident, admitted with fractures to the left humerus and hip, was scheduled to receive OT five times per week but only received four sessions over eight days. This resident also experienced delays in having a hinged elbow brace removed due to lack of available therapists, despite a physician's order allowing for its removal during the day. Nursing staff did not remove the brace, stating they were not comfortable doing so without therapy staff present, even though the Rehabilitation Director later confirmed they could have performed the task. Another resident, admitted with hypercalcemia and functional decline, was to receive PT six times per week but only received five sessions over eleven days, with services starting three days after admission. This resident reported dissatisfaction with the lack of therapy services, submitted a grievance, and ultimately discharged against medical advice. Staff interviews confirmed that therapy sessions were missed due to staff callouts and limited weekend coverage, impacting the delivery of care as planned.