Failure to Ensure Water Was Accessible for Resident at Risk of Dehydration
Penalty
Summary
A deficiency was identified when a resident with a history of dehydration, acute kidney failure, and essential hypertension did not have water available within reach. The resident was admitted with these diagnoses and was prescribed diuretic medications, which increase the risk of dehydration. The resident's care plan included instructions to offer and encourage fluids between meals. However, during observations, the resident was found in bed with the water pitcher placed on a dresser out of reach, and the straw remained wrapped. The resident confirmed being unable to reach the water pitcher. Further interviews with facility staff, including a licensed nurse and the Assistant Director of Nursing, verified that the water pitcher was not accessible to the resident. Staff acknowledged the resident's risk for dehydration due to their medical condition and medication regimen. Facility policy requires that beverages be available and within reach for all residents unless there are fluid restrictions or contraindications, neither of which applied in this case.