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F0657
D

Failure to Develop Comprehensive Care Plan for Medication Monitoring

El Cajon, California Survey Completed on 04-18-2025

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

The facility failed to develop a comprehensive care plan for one resident following a comprehensive assessment, specifically omitting a care plan for antibiotic monitoring. The resident in question was admitted with a history of stroke and metabolic encephalopathy and had been on a specific medication since admission. During interviews and record reviews, both the DON and Infection Preventionist acknowledged that the care plan was not specific to the resident's medication and that such a plan should have been in place. The facility's own policy requires comprehensive, person-centered care plans to prevent or reduce decline in residents' functional status, but this was not followed for the resident's antibiotic monitoring.

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