Incomplete Facility-Wide Assessment Documentation
Penalty
Summary
The facility failed to document a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. The assessment provided by the facility was dated 07/30/2024 and included outdated information, such as the names of the prior Administrator and Director of Nursing Services. The documentation only included a Part I template and omitted several required elements. Specifically, the assessment did not address the care needs of the resident population, including types of diseases, conditions, disabilities, and acuity levels. It also lacked information on required staff competencies, physical environment and equipment needs, available services, personnel details, contracts with third parties, and health information technology resources. During an interview, the current Administrator confirmed that the provided assessment was the most current version and that no additional information was available.