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F0656
D

Failure to Include Tracheostomy Self-Care in Resident's Care Plan

Stilwell, Oklahoma Survey Completed on 04-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that a care plan intervention for tracheostomy self-care was included for a resident with a tracheostomy. On April 7, 2025, the resident was observed with a tracheostomy, and a review of their treatment administration record from March 1 to March 31, 2025, indicated a diagnosis of malignant neoplasm of the lung. However, the resident's care plan did not address self-care for their tracheostomy. On April 8, 2025, the MDS coordinator confirmed that the self-care aspect should have been included in the care plan. The DON also acknowledged that the resident's self-care for their tracheostomy should have been care planned.

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