Failure to Implement Person-Centered Care Plan for Hearing Loss and Hearing Aids
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan addressing hearing loss and hearing aid use for a resident, as required by its care planning process. The resident was admitted with diagnoses including paroxysmal atrial fibrillation and encephalopathy, and an MDS 3.0 assessment initially documented minimal difficulty hearing with hearing aids, later showing severely impaired cognition, moderate hearing difficulty, and continued hearing aid use. Despite these documented needs, review of the resident’s care plan, last revised on 03/13/26, showed no problem focus related to being hard of hearing or wearing hearing aids and no interventions for hearing aid care or storage. Staff interviews confirmed the absence of a hearing loss/hearing aid care plan, and the Administrator reported that the resident’s hearing aids had been lost and subsequently reordered, with new aids arriving on 03/23/26. Policy review showed that the facility’s interdisciplinary team was required to periodically review and revise care plans based on resident goals, preferences, and needs, but this was not done for the resident’s hearing loss and hearing aid management. This deficiency was cited for failure to implement a comprehensive person-centered care plan for hearing aids and hearing loss for one resident reviewed for care plans, under Complaint Number 2802107.
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