Failure to Update Care Plan for Aspiration Precautions
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 revise the comprehensive care plan for one resident to reflect a physician's order for one-to-one feeding assistance as an aspiration precaution. Medical record review showed that the resident had a physician's order dated 3/27/25 for one-to-one feeding assistance, but this intervention was not included in the resident's active care plan addressing nutrition. During an observation, the resident was seen eating independently in his room without staff present and was noted to cough intermittently while swallowing. The Director of Nursing confirmed that the care plan had not been updated to include the required intervention in accordance with the physician's order.