F0685

D

Failure to Ensure Resident Received Functional Eyeglasses

York, Pennsylvania Survey Completed on 03-26-2026

Penalty

No penalty information released

Summary

The facility failed to ensure that a resident received proper treatment and assistive devices to maintain vision abilities. The resident had diagnoses including diabetes mellitus, altered mental status, anxiety, depression, anisocoria, macular degeneration, dry eyes, suspected glaucoma, pseudophakia, hyperopia, and presbyopia. Her care plan identified vision impairment and included interventions such as placing glasses within reach, encouraging their use, consulting with a physician for vision evaluation, and administering eye medications as ordered. An eye care consult documented that new glasses were recommended, with follow-up in 3–4 months and instructions to encourage use of glasses for distance and reading.

During an interview, the resident reported that the eye doctor had been in about a month earlier and asked how her new glasses were working, but she had not received them. The surveyor observed that her current glasses were missing the right lens and nose piece, and the left lens was severely scratched. The resident stated that she had been in the facility for a year, had been asking for new glasses because they were severely scratched, and that since admission a lens had fallen out and could not be found, followed by the nose piece falling off. She reported that not having functional glasses affected her quality of life because she could not see to read or do activities she enjoyed and had to sit close to the television and could not watch it while lying in bed. The bill for the new glasses was initially sent to the resident’s daughter, who was not allowed contact with the resident due to a history of exploitation, and later to the guardian, but the guardian did not receive or complete the bill until contacted again, resulting in a delay in obtaining the new glasses.