D · No harm, potential for more than minimal, isolatedMay 22, 2026
Based on review of clinical records, select facility policy, and staff interviews, it was determined the facility failed to ensure a resident with a prosthetic device received the necessary care and services to attain or maintain the highest practicable physical well-being, consistent with professional standards of practice, for 1 of 29 residents reviewed (Resident 10). Findings include: Review of the facility policy titled Prosthetic Device Policy, last reviewed by the facility on April 3, 2026, indicated residents requiring prosthetic devices (an artificial replacement for a missing body part) were to receive appropriate assistance, monitoring, and care in accordance with physician orders, care plans, and resident preferences. …