Failure to Include CPAP Use in Baseline Care Plan
Penalty
No penalty information released
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 develop and implement a baseline care plan that included a resident's need for CPAP equipment upon admission. The resident, who had diagnoses including obstructive sleep apnea and bipolar disorder, was observed with a CPAP device in his room and reported that nursing staff assisted him with its use nightly. However, the baseline care plan did not document the use of the CPAP, and there was no physician order in the medical record for its nightly use. The Chief Clinical Officer confirmed that nursing staff did not request a physician's order or include the CPAP in the care plan at the time of admission.