Failure to Update Facility Assessment and Include Required Staffing Information
Penalty
6 days payment denial
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 update its facility-wide assessment at least annually and did not include required information regarding staffing levels needed for emergencies, weekends, or specific shifts such as day, evening, and night. Record review showed that the assessment was outdated and lacked details on necessary staffing for various operational periods. During an interview, the Director of Nursing confirmed that the assessment had not been updated annually and did not address staffing needs for weekends or different shifts. This deficiency had the potential to affect all 56 residents residing in the facility. No information was provided regarding the medical history or condition of individual residents at the time of the deficiency.