Failure to Develop Comprehensive Care Plans for Residents
Summary
The facility failed to develop and implement comprehensive person-centered care plans for two residents, which is a requirement under Federal and State regulations. Resident #27, who was on palliative care and receiving pain medications, did not have a care plan addressing pain management and palliative care. Observations noted that the resident expressed experiencing pain, and physician orders included Tylenol and a topical gel for pain management. Despite these needs, there was no documented evidence of a care plan for pain management or palliative care in the resident's records. Similarly, Resident #123, who had a diagnosis of diabetes mellitus, did not have a care plan addressing their diabetic condition. The resident required maximal assistance with daily activities and had physician orders for insulin administration. However, a review of the resident's comprehensive care plans showed no documentation of a care plan for diabetes management. Interviews with nursing staff revealed that it was the responsibility of nurse supervisors and registered nurses to initiate and update care plans, but this was not done for these residents.
Plan Of Correction
Plan of Correction: Approved April 25, 2025 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** P(NAME) F656 I. Immediate Corrective Action: Resident # 27 1) On 3/31/25 the IDT Team developed a CCP for Palliative care and pain management. 2) On 4/2/2025 the resident was reassessed by Nurse Practitioner and the total plan of care including pain management and palliative care was reviewed. 3) On 4/17/2025 the SW and RNS met with the resident’s family to review the current plan of care for pain management and palliative care and the resident’s family verbalized satisfaction with the plan. 4) On 4/1/2025 the DON provided the SW responsible for initiating the palliative care CCP with education and counseling. Resident # 123 1) On 3/28/2025 the IDT Team developed a CCP for Diabetes. 2) On 3/28/25 the resident was reassessed by Nurse Practitioner and the total plan of care including diabetic management was reviewed. 3) On 3/31/2025 the DON issued an educational counseling to the Admitting RN for not initiating the diabetic management CCP. II. Identification of Others: 1) The facility respectfully states that all residents could potentially be affected. 2) A report will be generated from the EMR- Sigma care to determine which residents have orders for Palliative care. This list will be utilized by the SW in conjunction with the RNS to ensure all residents with palliative care have an individualized care plan. Any issues will be immediately corrected. 3) A report will be generated from the EMR-Sigma care to determine which residents have pain management medication orders. This list will be utilized by the RNS to ensure all residents have an individualized pain management care plan. Any issues will be immediately corrected. 4) A report will be generated from the EMR-Sigma care for all residents with diabetes. This list will be utilized by the RNS to ensure all residents with diabetes have an individualized care plan. Any issues will be immediately corrected. III. Systemic Changes: 1) The DNS and members of the IDT reviewed the P/P on Comprehensive Care Planning and found same to be compliant. 2) All RNs, MDS Coordinators, and IDT Team members will be inserviced by the In-service Coordinator. Highlights of the lesson plan include: - The responsibility to develop and implement a care plan that describes all of the following with emphasis on palliative care, pain management and diabetes; a. Resident goals and desired outcomes; b. The care/services that will be furnished so that the resident can attain or maintain his/her highest practicable physical, mental, and psychosocial well-being; c. Resident's medical, nursing, physical, mental, and psychosocial needs, and preferences, and how the facility will assist in meeting these needs and preferences. - The specific CCP’s that each member of the IDT is responsible for initiating. - The responsibility of all members of the IDT to initiate or update CCP’s for changes in the residents’ care plan that are addressed at the morning QA Meeting. - The responsibility of the IDT to review each resident’s physician orders [REDACTED]. IV. Quality Assurance: 1) The DON developed an audit tool to ensure that all care plans are developed, implemented, and reviewed, including goals and interventions after each care plan meeting. 2) The DON/Designee will review 8 randomly selected residents weekly x 4 weeks followed by 8 residents each month including new admission x 6 months. 3) Any findings regarding CCP implementation will be reviewed at the monthly QA meeting for follow-up. 4) Findings will be reported quarterly to QA Committee to track compliance and monitor sustainability. V. Date of Correction and Person Responsible for this F Tag: 05/29/2025-Director of Nursing
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
A resident with dementia, muscle weakness, and protein-calorie malnutrition had a care plan directing staff to offload his heels or use Prevalon boots while in bed. During observation, he was found in bed without the boots, and an LPN confirmed his heels were not offloaded even though they should have been.
Failure to care plan depression: A resident with MDD and ongoing depressive symptoms had psychology evaluations documenting depressed mood, loss of interest, sleep disturbance, fatigue, and appetite changes, and the MDS listed depression as an active dx. However, the care plan did not include depression as a focus area, and the MDS Coordinator and DON both stated it should have been care planned.
Incomplete care planning for ordered medications and diabetic footwear. The facility did not include ordered meds such as Eszopiclone, Lexapro, Mirtazapine, and Zolpidem in residents' comprehensive care plans, and one resident was not measured for diabetic shoes and insoles per MD order. The MDS Coordinator said the missing medication care plans were an oversight, while the DON and Administrator stated care plans are used to direct and guide resident care.
A facility failed to include person-centered comprehensive care plan focus areas for two residents receiving ordered meds. One resident with atrial fibrillation was receiving Eliquis, and another resident with insomnia was receiving Trazodone, but neither current care plan addressed the medication use. The MDS Nurse stated she was responsible for care plan development and said the omissions were due to oversight.
Failure to update a resident’s fall care plan with a Geri-chair intervention. A resident with dementia, osteoarthritis, diabetes, severe cognitive impairment, and a history of falls had a care plan listing multiple fall precautions, but after a witnessed fall and a physician order for a Geri-chair or tilt back WC, the care plan was not updated to include that intervention. Surveyors observed the resident in a Geri-chair, and the MDS Coordinator and DON acknowledged the care plan had not been updated.
Failure to care plan a resident’s impaired hearing. A resident with dementia and a history of hard of hearing was observed unable to hear normal conversation and stated he refused to use his hearing aid. The SSD and RN confirmed no care plan had been initiated for the hearing impairment or hearing aid refusal, and the DON stated the condition should have been care planned per facility policy and MDS triggers.
Failure to Offload Heels as Directed
Penalty
Summary
Resident #32, who was admitted with diagnoses including dementia, muscle weakness, and protein-calorie malnutrition, had a care plan revised on 6/18/21 directing staff to offload his heels or use Prevalon boots when he was in bed, as he allowed. During observation on 7/9/26 at 11:22 AM, Resident #32 was found in bed without Prevalon boots in place. At 11:23 AM, an LPN stated the resident should have had his boots on, then lifted the blanket and observed the resident's legs resting on a pillow. When asked whether the resident's heels were offloaded, the LPN stated they were not and confirmed they should have been offloaded.
Failure to Care Plan Depression
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for Resident #22, who had diagnoses including Major Depressive Disorder and was documented by psychology evaluations as having recurrent, moderate depression. The resident’s evaluation notes described decreased interest in activities, persistent depressed mood, sleep disturbances, fatigue, and changes in appetite, with symptoms occurring on more than half of the days and causing moderate subjective distress. A later psychology note again documented persistent depressed mood, marked loss of interest, altered sleep patterns, and fatigue with moderate distress. The resident’s quarterly MDS dated 6/13/2026 documented an active diagnosis of depression in Section I, but the care plan did not include a focus area for depression. During interview, the MDS Coordinator stated the resident had been followed by Balance Wellbeing since 12/2025, the diagnosis was entered on 5/20/2026, and depression was not included in the care plan but should be. The DON also stated the resident should be care planned for depression. The facility policy required a comprehensive person-centered care plan with measurable objectives and timeframes to meet the resident’s medical, nursing, and psychosocial needs and all services identified in the comprehensive assessment.
Incomplete Care Planning for Ordered Medications and Diabetic Footwear
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives and timeframes for 3 of 4 residents reviewed. Resident #12 had diagnoses including dementia, anxiety, malnutrition, and depression, and her physician orders included Eszopiclone for insomnia, Lexapro for depression, and Mirtazapine for protein-calorie malnutrition. Although these medications were active and administered, the comprehensive care plan dated 04/23/26 did not include care planning for Eszopiclone, Lexapro, or Mirtazapine. Resident #3 had diagnoses including PTSD, depression, and stroke, with a BIMS score of 08 indicating severely impaired cognition. Her physician order dated 06/01/26 included Zolpidem Tartrate 5 mg at bedtime for insomnia, and the MDS indicated she received a hypnotic medication during the look-back period. The comprehensive care plan did not indicate Zolpidem. During interview, the MDS Coordinator stated she reviewed the records and did not see care plans for Resident #12's medications or Resident #3's Zolpidem, and said it was an oversight. Resident #2 was also identified in the deficiency statement as not being measured for diabetic shoes and diabetic insoles per physician order. The facility's policy stated that a comprehensive, person-centered care plan with measurable objectives and timetables is developed and implemented for each resident and revised as conditions change. The DON and Administrator stated that care plans were a team effort and used to direct and guide resident care, and that if care plans were not done properly, care could be missed.
Missing Care Plan Focus Areas for Anticoagulant and Antidepressant Medication Use
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for a resident receiving anticoagulant medication. Resident #5 was admitted with atrial fibrillation and had a physician order for Eliquis 5 mg by mouth twice daily. The June 2026 MAR showed the resident received Eliquis as ordered, and the quarterly MDS assessment coded the resident as moderately cognitively impaired and receiving anticoagulant medication. However, the resident’s current comprehensive care plan, last reviewed on 6/19/26, did not include a care plan focus area for anticoagulant medication use. The facility also failed to develop a person-centered comprehensive care plan for a resident receiving antidepressant medication. Resident #8 was admitted with insomnia and had a physician order for Trazodone 50 mg by mouth at bedtime. The June 2026 MAR showed the resident received Trazodone as ordered, and the quarterly MDS assessment coded the resident as cognitively intact and receiving antidepressant medication. The resident’s current comprehensive care plan, last reviewed on 6/18/26, did not include a care plan focus area for antidepressant medication use. In both cases, the MDS Nurse stated she was responsible for developing the care plans and identified the missing care plan areas as an oversight.
Failure to Update Fall Care Plan With Geri-Chair Intervention
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan that included all of Resident #1’s fall interventions. Resident #1, a [AGE]-year-old female with dementia, osteoarthritis, and diabetes mellitus, had a quarterly MDS showing a BIMS score of three, indicating severe cognitive impairment, and was assessed as having falls with one fall without injury. Her comprehensive care plan identified her as being at risk for falls related to debility, advanced age, and behaviors, and included interventions such as a low bed with fall mat, tilt back wheelchair, staff education, correct positioning in chair, nonskid tape under the fall mat, use of a call light, monitoring for changes in condition, and a pommel cushion added to the chair. After Resident #1 experienced a witnessed fall from her wheelchair in the TV area, a physician order was entered for safety devices including a low bed, fall mat, and Geri-chair or tilt back wheelchair. At the time of survey observation, Resident #1 was seen in a Geri-chair in the TV area and stated she liked it and was comfortable in it. However, the care plan did not include the Geri-chair intervention. The MDS Coordinator stated she had seen Resident #1 in the Geri-chair but had not yet updated the care plan, and the DON stated whoever had the resident should have seen the order for the Geri-chair and updated the care plan.
Failure to Care Plan Hearing Impairment
Penalty
Summary
The facility failed to develop an individualized, resident-centered care plan with measurable objectives, timeframes, and interventions to address Resident 33’s impaired hearing. Resident 33 was admitted with diagnoses including dementia, muscle weakness, and abnormal gait and mobility, and the H&P documented a history of hard of hearing. The MDS dated 6/5/2026 indicated the resident was moderately impaired in cognitive skills for daily decision making and had minimal difficulty hearing. During an observation and interview on 6/29/2026, Resident 33 was lying in bed and stated he could not hear the surveyor during a normal conversation, that he was hard of hearing, and that he refused to use his hearing aid. The SSD stated the resident had difficulty hearing, refused to use the hearing aid, and had no care plan initiated for impaired hearing. RN 2 later confirmed there was no care plan for the resident’s impaired hearing and that one should be in place to address the hearing impairment and refusal to use the hearing aid so staff could communicate effectively. The DON stated that a resident with impaired hearing should be care planned according to facility policy and that hearing impairment triggered on the MDS should be care planned, including refusal to use the hearing aid.
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