Failure to Ensure Hydration Needs Met for Resident on Diuretics
Penalty
Summary
A deficiency occurred when a resident with a history of dehydration, acute kidney failure, and essential hypertension did not have water available within reach. The resident was observed in bed with the water pitcher placed on a dresser out of reach, and the straw remained wrapped. The resident confirmed being unable to access the water. The clinical record indicated the resident was on diuretic medications, which increase the risk of dehydration, and the care plan specified that fluids should be offered and encouraged between meals. A licensed nurse verified that the water pitcher was out of reach and acknowledged the resident's risk for dehydration due to diuretic use. The Assistant Director of Nursing stated that it was expected for all residents without fluid restrictions or contraindications to have water within reach. Facility policy also required beverages to be available and accessible to residents. The failure to provide water within reach did not align with the resident's care plan or facility policy.