Failure to Provide and Maintain Prescribed Eyeglasses for a Resident With Macular Degeneration
Penalty
Summary
The facility failed to ensure a resident received proper treatment and assistive devices to maintain vision, as care-planned. The resident, admitted with diagnoses including essential hypertension, hyperlipidemia, fibromyalgia, lumbago with sciatica, and diaphragmatic hernia, had a care plan dated 12/16/2025 documenting macular degeneration and the use of reading glasses, with an intervention to ensure needed adaptive equipment, including eyeglasses, was provided, present, and functional. Despite this, the resident reported on multiple occasions that her glasses had been broken for a long time and that she did not have a good pair of glasses due to a broken frame, and no eyeglasses were observed on or with her during interview. Staff interviews confirmed that the resident did not currently have eyeglasses and continued daily activities without them, and the Social Services Director stated she did not schedule eye appointments for the resident, indicating that the resident’s daughter was responsible for arranging eye appointments. These observations, interviews, and record reviews demonstrate that the facility did not implement the care plan intervention to ensure the resident’s eyeglasses were provided and functional, resulting in the resident being without necessary corrective lenses for an extended period.
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