Failure to Address High Fall Risk in 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 maintain a complete and accurate care plan tailored to the individual needs of a resident identified as being at high risk for falls. A fall risk assessment conducted on the resident resulted in a score indicating high risk, and the resident subsequently experienced a fall resulting in injury. Review of the resident's care plan revealed that it did not address the resident's fall risk, despite the assessment findings and the incident. The Director of Nursing Services confirmed that staff did not include fall risk interventions in the care plan as expected.