Failure to Document Meal Consumption for Cognitively Impaired Resident
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 document meal consumption for a resident who was severely cognitively impaired and had multiple diagnoses, including dementia, hypertension, diabetes, stroke, anxiety, and depression. Review of the resident's clinical record revealed numerous instances where meal consumption values were missing for both breakfast and lunch across several dates. During an interview, a CNA confirmed that meal consumption should be recorded daily in the computer at the end of each shift. The facility's current policy also requires staff to document meal consumption in the medical record.