Does anyone know if Medicare requires compliance on the part of residents/patients in their care & treatment in order to receive Medicare benefits?
In our nursing home we have several Medicare residents who do not comply with physician orders and it has created a big problem in one instance. There is a resident who consisitently refuses his BID wound treatments . . . he lets only two nurses perform them and one is on indefinite medical leave. These wounds are massive in the groin and abdominal region and because they are being treated only once or twice a week, the odor is like nothing you have ever smelled. Think of dead, rotting meat & fish with a lot of poop thrown in (the man has a colostomy). Needless to say, the smell permeates the entire wing.
Our social services department, DON & Administrator all agree that it is very offensive & something needs to be done about it, but they spew out the "residents rights" issue. What about the other residents, family members & staff who seem to have lost their rights in this issue?
I will be checking with Medicare but I thought someone out there might have some insight into this kind of dilemma.