Failure to Initiate Baseline Care Plan Within 48 Hours of Admission
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 create and implement a baseline care plan within forty-eight hours of admission for one resident. The resident was admitted on the evening of 04/14/2025, but as of the afternoon of 04/17/2025, no baseline care plan was present in the clinical record. During an interview, the DON confirmed that the baseline care plan had not been initiated and acknowledged that it should have been completed. The DON explained that the admitting nurse was generally responsible for starting the baseline care plan, with oversight from the ADONs or DON, but the process was interrupted due to the start of a survey.