§483.25(a) Vision and hearing
To ensure that residents receive proper treatment and assistive devices to maintain vision and hearing abilities, the facility must, if necessary, assist the resident-
§483.25(a)(1) In making appointments, and
§483.25(a)(2) By arranging for transportation to and from the office of a practitioner specializing in the treatment of vision or hearing impairment or the office of a professional specializing in the provision of vision or hearing assistive devices.
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Observations:
Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to ensure each resident received timely treatment and services to maintain visual abilities for one of four sampled residents. (Resident 1)
Findings include:
Clinical record review revealed that Resident 1 had diagnoses that included anxiety and hypertension (high blood pressure). Review of the Minimum Data Set assessment dated March 29, 2024, revealed that the resident had vision problems and needed corrective lenses. Review of the care plan revealed that Resident 1 was to use glasses everyday to watch television as an activity.
On June 11, 2024, at 12:14 p.m., Resident 1 was observed in her room with the television on and not wearing glasses. In an interview at that time, she stated "I have not had my glasses since March." Review of facility documentation revealed that a referral for eye care services was placed on March 13, 2024. Further review of facility documentation from April 22, 2024, revealed Resident 1's Power of Attorney also wanted eye care services to be provided. There was no documented evidence that the resident received eye care services per referral.
In an interview on June 11, 2024, at 2:37 p.m., the Social Services Director confirmed that Resident 1 had not received eyecare services and should have been seen.
| | Plan of Correction - To be completed: 07/09/2024
1. Resident 1 has been seen by Eye Care Services and new glasses ordered.
2. Audit completed of current Residents to ensure they have received necessary eye care services.
3. IDT team and Nursing staff have been educated on the need to ensure Residents receive proper treatment and assistive devices to maintain vision.
4. NHA and/or designee will audit concerns of missing items and vision appointments to ensure any Resident needing vision services with or without missing glasses has been referred to eye care services for treatment and replacement of devices as needed. Audit will be completed weekly x 4 weeks then monthly x 2 months. Audits will be reviewed with QAPI Committee for any further action needed.
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