Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0656
E

Failure to Develop Comprehensive Care Plans for Residents with Special Needs

Pomona, California Survey Completed on 04-18-2025

Penalty

No penalty information released
tooltip icon
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 comprehensive care plans for two residents, resulting in unmet individualized needs. For one resident with severe cognitive impairment and multiple diagnoses, including dementia and psychosis, staff observed and reported consistent refusal and fear when being turned and repositioned. Despite these observations and reports to nursing staff, there was no care plan developed to address the resident's non-compliance with turning and repositioning, nor were interventions created to manage the resident's fear and refusal. For another resident with severe cognitive impairment and a diagnosis of PTSD, the facility did not create a care plan to address the PTSD diagnosis. The Director of Staff Development was unaware of the PTSD diagnosis, and there was no individualized, person-centered care plan in place to guide staff in managing the resident's mental health needs, triggers, or appropriate communication techniques. The absence of a care plan meant that staff were not aligned in their approach to care for this resident, and strategies for managing PTSD-related behaviors were not documented or implemented. The facility's policies and procedures require the development of comprehensive, person-centered care plans that address all identified medical, nursing, mental, and psychosocial needs, including trauma-informed care for residents with a history of trauma. In both cases, the facility did not follow its own policies, resulting in a lack of documented, measurable objectives and interventions for the residents' specific needs.

An unhandled error has occurred. Reload 🗙