Failure to Offer Advance Directive Opportunity 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 follow its own policy and procedure regarding advance directives (AD) for one resident. During an interview and review of the medical record for this resident, the Business Office Manager was unable to provide evidence that the resident or their responsible party had been offered the opportunity to formulate or decline an advance directive upon admission. The facility's policy requires that, on admission, staff determine if a resident has executed an advance directive and, if not, offer the opportunity to do so. There was no documentation in the resident's record to show that this process was followed.