Failure to Develop Care Plan for Skin Discoloration on 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 develop and implement a person-centered care plan for a resident who was admitted with skin discoloration, specifically two bruises to the left lateral ribs. According to the facility's policy and procedure, an individualized comprehensive care plan with measurable objectives and timetables should be created for each resident to address identified problem areas. Upon review of the resident's admission record and condition on admission, it was confirmed that no care plan was developed to address the resident's skin bruising. This was acknowledged by both the Medical Records staff and the Director of Nursing during interviews and record reviews.