Failure to provide routine dental services for a resident after a refused dental visit. The resident had not seen a dentist since admission, and after refusing one scheduled dental appt, no further dental appts were scheduled or offered. The ADON and DON confirmed the resident was not seen by a dentist again prior to survey intervention.
Failure to provide timely dental services: A resident with mouth and tooth pain was treated with antibiotics and a dental consult was ordered, but the resident remained awaiting dental evaluation for definitive care. The resident and complainant stated the resident had not seen a dentist, and staff reported problems arranging the appointment due to insurance issues and changes in who handled scheduling; the BOM said there was no reason the resident should not have been seen, and the DON confirmed the findings.
Failure to Follow Up on Dental Referral: A resident with respiratory failure and DM was seen by dental and told that retained roots needed surgical extraction, but the oral surgery referral was not scheduled. The ADON said the follow-up process depended on unit manager communication to the scheduler, and she was unaware the resident needed an oral surgeon appointment until the survey team identified the missed follow-up.
A resident with only two small tooth fragments remaining did not receive documented follow-up for an extraction recommended by a dental consult. After a hospitalization and return to the facility, there was no evidence that staff arranged the needed dental follow-up, and MR staff could not provide documentation of follow-up from the original consult.
A resident with stroke, chronic pain, trigeminal neuralgia, and bruxism had multiple dental orders for eval and treatment by the facility dentist, including for teeth grinding, but had not been seen by a dentist since admission. The resident reported no dental visit, and the MDS/scheduler confirmed the resident had not been seen despite the facility having dental services available.
Failure to obtain routine dental services for a resident with ill-fitting dentures and an edentulous mouth. Oral screenings repeatedly identified the need for a dental consult, but no documented dental visit was found since admission. The DON stated the resident had not been enrolled in the outside dental program and that this was an oversight.
Failure to ensure annual dental visits for two residents. Two residents stated they had not seen the dentist in a while, and record review showed each had last been seen by a dentist in 2024, indicating the facility did not ensure timely dental services for the residents reviewed.
A resident with documented dental problems, including cavities and broken, chipped teeth, had repeated oral assessments showing ongoing concerns, yet there was no evidence the facility consistently arranged or attempted routine dental care. The DON stated the resident refused a dental appt when asked, and the only documentation provided showed one declined dental appt, while the resident reported not having seen a dentist.
Failure to provide dental services for a resident who reported aching back teeth and was unable to clean the teeth without assistance. The resident had a hx of stroke with hemiplegia, dysarthria, and DM2, and the admission orders called for annual dental consultation as needed. An LPN stated awareness of the dental issue but did not follow up, and the Administrator confirmed the facility did not schedule the dental appt.
Failure to Provide Routine Dental Services: Two residents reviewed for dental care did not receive routine dental services. One resident reported an unclear dental follow-up history and had no dental notes or evals in the record, while the DON confirmed no dental visit since 2024 despite eligibility for health drive services. Another resident, who reported wearing dentures and not seeing a dentist for about 2 years, was observed with a chipped tooth and also had no dental evals documented beyond the admission oral assessment.
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Citations used to create this checklist
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