Failure to Maintain Ordered Bedside Hydration for a Dehydration‑Risk Resident
Penalty
Summary
The facility failed to provide sufficient fluid intake to maintain proper hydration for one sampled resident. The resident had diagnoses that included dehydration, had cognitive impairment, and required moderate assistance with eating per the Minimum Data Set assessment. The resident’s current care plan identified a risk for dehydration and included an intervention directing staff to keep water available at the bedside at all times. However, observations on multiple occasions showed that the resident had no fluids at the bedside: on March 3, 2026, at 10:53 a.m., and on March 4, 2026, at 9:30 a.m., 10:45 a.m., 11:51 a.m., and 12:30 p.m. In an interview, the Regional Clinical Director confirmed that the resident was supposed to have water at the bedside according to the care plan. This deficiency was cited under CFR 483.25(g)(2) for failure to ensure sufficient fluid intake to maintain proper hydration and referenced a previous citation on 7/3/25, as well as 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services.
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