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F0658
D

Failure to Obtain Weekly Weights as Ordered for a Resident

Hawthorne, California Survey Completed on 04-04-2025

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 ensure that weekly weights were obtained as ordered for one resident. Specifically, a resident with diagnoses including dysphagia, type 2 diabetes, schizophrenia, and hyperlipidemia was admitted and had a physician order to be weighed every Saturday until a specified date. Record review and staff interviews confirmed that the resident was only weighed once during the required period, missing subsequent weekly weights as ordered by the physician. Certified Nurse Assistant 2 and Registered Nurse 2 both acknowledged during interviews that the resident was not weighed weekly according to the physician's order. The facility's policy indicated that residents should be weighed at intervals established by the interdisciplinary team, but this was not followed in the case of this resident. The failure to obtain weekly weights as ordered constituted a deficiency in meeting professional standards of quality.

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