Failure to Educate Residents on Advance Directives
Penalty
Summary
The facility failed to educate and provide written information to residents regarding their right to formulate an advance directive. This deficiency was identified for four residents who were reviewed during the survey. The facility's policy on Advance Directives, dated November 1, 2016, states that residents should be provided with information about advance directives upon admission. However, the facility was unable to provide documentation that Residents #24, #36, #75, and #239 were educated about or given the opportunity to formulate an advance directive. Each of these residents had intact cognition as indicated by their Brief Interview for Mental Status (BIMS) scores, which were 15 for Residents #24, #36, and #239, and 13 for Resident #75. Despite their cognitive abilities, there was no completed documentation in their medical records to show that they were informed about advance directives. The facility's administrator confirmed that all available documentation related to advance directives had been provided, yet it was insufficient to demonstrate compliance with the policy.