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F0656
D

Failure to Include Enhanced Barrier Precautions in Care Plan for Resident with Feeding Tube

Warren, Ohio Survey Completed on 04-24-2025

Penalty

No penalty information released
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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

A deficiency was identified when a comprehensive care plan for a resident with multiple complex diagnoses, including malignant neoplasms, dysphagia, severe malnutrition, bacteremia, and a gastrostomy tube, failed to address the need for Enhanced Barrier Precautions (EBP). Record review showed that although the resident had a physician order for daily cleansing and dressing of the feeding tube site, there was no order or care plan entry for EBP related to the feeding tube. The resident's Minimum Data Set assessment indicated cognitive intactness and the presence of a feeding tube, but the care plan dated 04/10/25 did not include EBP measures. The Director of Nursing confirmed the absence of both an EBP order and related care plan entry, despite facility policy requiring comprehensive, person-centered care planning.

See complete original report
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