Failure to Care Plan for Missing Hearing Aid
Penalty
Summary
The deficiency involves the facility’s failure to develop a comprehensive, person-centered care plan addressing a resident’s missing right hearing aid. The resident had been admitted and later readmitted with diagnoses including a left femur fracture, Parkinson’s disease, and dysphagia. A History and Physical documented that the resident lacked capacity to understand and make decisions, and an MDS assessment showed severely impaired cognitive skills for daily decision-making, with total dependence on staff for oral hygiene, toileting hygiene, and lower body dressing. A Theft/Loss Report documented that the resident’s right hearing aid was missing. During a concurrent interview and record review, RN 1 confirmed that there was no comprehensive care plan addressing the missing right hearing aid and described the care plan as a communication tool among the IDT that should include a problem, goal, and interventions. The MDS nurse stated that care plan development is a consolidated team effort and that the IDT should develop a care plan to address any identified resident problems or concerns. The DON stated that the care plan serves as guidance on how to care properly for residents and emphasized the importance of developing a comprehensive care plan to provide appropriate care. The facility’s policy on Person-Centered Care Planning required development and implementation of a comprehensive person-centered care plan for each resident, with measurable objectives and timeframes to meet identified needs, but this was not done for the missing hearing aid.
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