Failure to Provide Ordered Restorative Nursing Services After Therapy Discharge
Penalty
Summary
The facility failed to ensure that a resident received ordered restorative services to prevent loss of ability in activities of daily living. During an interview, the resident stated she wanted some type of therapy, even if only restorative therapy. The PT confirmed that the resident had been discharged from therapy, could not recall the discharge date, and acknowledged that the resident should be receiving restorative therapy. Record review showed a physician order dated 12/23/25 referring the resident to the restorative nursing program three times a week for improved quality of life, but the restorative therapy notes contained no indication that the resident was actually receiving restorative services. In a subsequent interview, the restorative aide stated that when PT discharges a resident, PT is supposed to notify her, and she confirmed she had not been notified about this resident’s restorative program order. According to the report, if the facility is not ensuring residents receive restorative services at the commencement of therapy services when indicated, residents are likely to experience a decrease in their activities of daily living.
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