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F0842
B

Inaccurate POLST Documentation of Advance Directive

Ladera Ranch, California Survey Completed on 04-17-2025

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 the accuracy of a resident's medical record, specifically regarding the documentation of the resident's Advance Directive on the POLST form. During a review of the medical record for one resident, it was found that the POLST form indicated the Advance Directive was not available, despite the fact that the document had been uploaded into the electronic medical record several days after the POLST was completed. This discrepancy was confirmed during an interview and concurrent record review with the Social Services Director, who acknowledged that the POLST form should have reflected the presence and review of the Advance Directive in the resident's current medical record. The facility's policy requires that all entries in the medical record be accurate, but this was not followed in the case of the resident's POLST documentation.

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